Since 2014, LARVOL have been providing data and software solutions to support the competitive intelligence needs of the pharmaceutical and life science organizations around the world. We are a SaaS company with an entrepreneurial spirit and the drive to be the best. We do serious business while having fun along the way!

We are looking for a Medicare Claims Data Analyst to join our team. This is a fully remote, part-time position with flexible hours. As the Medicare Claims Data Analyst, your primary responsibility will be to ensure data in our platform is validated, cleaned and ready for any reporting and analytics work. The work will be fast-paced, with evolving needs - requiring flexibility, curiosity, and grace under pressure.

You must have a minimum of three (3) years of experience in all of the following:

• Working with and understanding Medicaid and Medicare data including data extraction, data manipulation, repository building and data interpretation

• Designing public reports
• Establishing statistical validity requirements for quality, efficiency or resource use measures
• Combining claims data from different payers to calculate and report performance measures
• Experience in attribution of patient services or episodes to specific providers or suppliers
  
• Experience using methods for risk adjustment to account for variations
• Experience identifying methods for handling outliers
• Experience in implementing a quality assurance process including assessing measure reliability and correcting errors

Additional Requirements:

• Experience with exploring and extracting data from CMS
• Understanding of healthcare Drug codes, diagnosis & procedures codes
• Knowledge of Extract Transform and Load (ETL) frameworks using SQL and analytical tools
• Strong analysis and validation skills
• Proficient in R, SQL, SAS, Python and MS Office tools
• Self-starter, able to work independently & in a fast-paced, high intensity start-up environment
• Bachelor's or Master's degree in STEM, public health, finance, economics, or other related field

What you will do:

• Gather and analyze healthcare data from multiple sources (e.g., CMS, Medical claims, Pharmacy claims, Patient/Provider behavior) to extract trends and business insights

• Integrate the CMS Medicare data with claims data from other sources and calculate provider performance measures
• Prepare performance reports on providers and suppliers

• Understand the data structure and assist with developing SQL & SAS codes to store, sort, and retrieve data and build visualizations
• Obtain & integrate data from the data warehouse; apply rules and create appropriate visuals to integrate with our software
• Convert SAS codes to open source like R or Python as required
• Perform and document data analysis, data validation, and data mapping/design
• Perform and review quality checks on aggregated data in order to identify data anomalies
• Develop Excel-based models that are used to evaluate trends, forecast and identify best practices
• Provide a timely response to provider and supplier inquiries regarding requests for data, error corrections, and appeals

Perks:

• 100% remote (anywhere in USA)
• Part-time (10 - 20 hours/week), flexible hours