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Data Analyst Medicare Programs

Apr 4, 2017

Company: Martin's Point Health Care

Location: Portland, Maine


Position Summary:


The Data Analyst provides analytic, technical, and decision support to the Manager, Revenue Management at Martin’s Point utilizing third party software as well as the data warehouse as key sources of data. The Analyst provides subject matter expertise to our internal customers related to their department-specific action plans related to revenue optimization. The Analyst works closely with internal departments to provide accurate, timely, and consistent information enabling informed decisions related to revenue optimization activities. In this position the Analyst relies on content knowledge and analytical expertise to guide and educate customers on revenue optimization from a range of operational lenses and levels of analysis. The position also participates in team projects, various special analytical assignments, and other tasks as assigned. The Analyst will interact with staff and management from other departments, outside organizations, and other members of the Department on a regular basis.


Key Outcomes:


  1. Conducts analyses to inform business decisions and activities related to revenue optimization
  2. Participates in vendor research, software installation and configuration support, and interface development applications as needed
  3. Maintains and is expert user of third party analytical tools and reporting platforms related to risk profile analysis and HCC coding
  4. Recommends tools and methodologies that can be deployed at the corporate level, to the departments and with external partners
  5. Develops monitoring and tracking tools to quantify the expected and actual results of interventions
  6. Provides analytic mentorship and guidance to operational departments related to revenue optimization
  7. Liaison with key supporting departments, IT and Informatics, on risk & revenue optimization
  8. Participates in the development of revenue optimization operational and strategic planning processes
  9. Tracks progress and activities of key initiatives
  10. Creates standardized reports and processes for analyzing data from multiple sources
  11. Vendor Management: works directly with vendors to coordinate needs, issue resolution, and implementation of data transmission
  12. Aptitude and interest for rapid familiarization with CMS HCC Risk Adjustment modeling



  • Bachelor’s degree or equivalent experience required
  • 5 years health care experience required, ideally in the areas of managed care, health care delivery, code sets, and/or reimbursement
  • 6+ years of experience related to reporting and analysis of health care data
  • Familiarity with healthcare applications and business management software applications
  • Effective reporting presentation of analytic results using a variety of quantitative, qualitative, and visualization mediums
  • Experience in developing cost-benefit and ROI analyses





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