Help design rigorous retrospective and prospective analysis plans to evaluate Maven’s impact on health outcomes and ROI
Quantitatively analyze data for projects assessing Maven’s influence on health outcomes, healthcare experience, and ROI using statistical analysis software
Participate in retrospective evaluations of Maven’s impact for existing clients, including analysis of healthcare claims and self-reported platform data, study design, and communication of results in Powerpoint and / or Word
Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare accessible for everyone. They offer digital programs providing clinical, emotional, and financial support across various life stages, trusted by over 2,000 employers and health plans.
Integral to transforming how healthcare data is utilized for better decision-making
Bridge the gap between technical and business teams, ensuring requirements are met with precision
Contribute to significant improvements in operational performance and client satisfaction
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly and fairly. They identify top-fitting candidates and share the shortlist with the hiring company.
Be responsible for the monitoring and management of the end to end data flow of data submissions to vendors and government agencies to mitigate data leakage and submission errors.
Own the claim and supplemental submission workflow for CMS EDS submissions.
Develop data pipeline tracking reports and analyze, research, and resolve encounter data errors.
Clover Health is reinventing health insurance by combining data with human empathy to keep members healthier. They've created custom software and analytics to empower their clinical staff to intervene and provide personalized care to the people who need it most. They are passionate and mission-driven individuals with diverse areas of expertise. From Clover’s inception, Diversity & Inclusion have always been key to their success.
Develop, test, and deploy standard reports and dashboards based on business requirement specifications.
Collaborate with Business Systems Analysts and key business users to document business requirements accurately.
Lead special projects that require analytical research and collaboration with other business areas.
Kentucky General is enhancing the revenue cycle processes. They are focused on developing standard reports that cater to business users' needs and improving business insights and management strategies.
Perform comprehensive analysis of healthcare claims data using advanced statistical and analytical methods; prepare reports summarizing key findings.
Collaborate with management, investigators, and analysts to support proactive and reactive case development efforts by fulfilling data requests.
Apply techniques such as data mining, statistical modeling, and predictive analytics to identify anomalies in Medicare/Medicaid claims.
CoventBridge Group is a global full-service investigation firm providing data analytics and investigative solutions to government and commercial clients. They have 1000 employees and affiliates worldwide and are committed to top tier data privacy and security practices.
Independently ascertain how to query the necessary data from large data sets and generate ad hoc analysis with clear insights
Leverage historical claims data and provide reprice reporting that allows for assessment and risk management
Ensure high quality, “client ready” deliverables through an audit/evaluation process and personal accountability
SmithRx is a rapidly growing, venture-backed Health-Tech company. Their mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service.
Serve as the subject matter expert in interpreting payer agreements.
Collaborate with the Provider Network Operations team to support the build of standard operating procedures.
Maintain reconciliation trackers to measure contract performance and support audit requests.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. They are the largest network of independent primary care in the country, creating value-based contracts across various health plans.
Lead high-impact analytics initiatives with internal teams to inform data-driven initiatives.
Execute in-depth analysis of user behavior to identify growth opportunities and inform product optimization strategies.
Influence direction through actionable insights and recommendations to key stakeholders based on statistical analysis and data interpretation.
BetterHelp is the world’s largest online therapy service, providing affordable and convenient therapy across the globe. Their network of over 30,000 licensed therapists has helped millions of people take ownership of their mental health and change their lives forever.
Leverage Doximity's extensive datasets to identify and classify behavioral patterns of medical professionals.
Play a key role in creating both product and client-facing analytics.
Collaborate with a team of product managers, analysts, and other developers to define and lead data projects.
Doximity is transforming the healthcare industry by helping every physician be more productive and provide better care for their patients. As medicine's largest network in the United States, they are committed to building diverse teams with an inclusive culture.
Collaborate with implementation teams and external customers to ensure data integrity and interface validation for symplr software solutions.
Analyze and manage patient healthcare data for consistency and accuracy while configuring system software during implementation projects.
Leverage analytical, technical, and communication skills to define processes for clinical data management and assist customers in achieving their organizational goals.
Symplr is revolutionizing healthcare operations with a first-of-its-kind platform that drives effective, efficient, and connected workflows, increasing operational benefits and scaling clinical, financial, and quality outcomes. We are a remote-first company with employees across the United States, India, and the Netherlands.
Maintain internal CMS HCC and RxHCC models for calculating member level risk scores.
Support the monthly close process, including the development of actuarial risk adjusted revenue accruals and analysis of results.
Build reports to track ROI on various risk adjustment initiatives.
Clover Health is reinventing health insurance by combining the power of data with human empathy to keep their members healthier. They are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.
Help design retrospective and prospective projects to evaluate Maven’s impact on health outcomes
Quantitatively analyze data for projects assessing Maven’s influence on health outcomes using statistical analysis software (R preferred)
Communicate results from research projects to a diverse audience including the scientific community, clients, and internal cross-functional teams
Maven is the world's largest virtual clinic for women and families. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs.
Deep dive into trends and provide data driven insights to identify risky behavior.
Develop customer and program segmentation frameworks to enable proportionate monitoring.
Create dashboards to monitor performance across relevant metrics and create alerts.
Lithic creates card issuing and payment infrastructure for technology companies. They help some of the world’s fastest-growing digital banks, fintech companies, and software companies process billions in transactions annually.
Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services.
Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference.
Record after-call actions and perform post-call analysis for the claim follow-up.
TruBridge connects providers, patients, and communities with innovative solutions that create real value by supporting both the financial and clinical sides of healthcare delivery. They are a remote team that encourages their employees to push boundaries and look at things differently.
Develop tools to measure value-based performance and insights.
Collaborate with teams to evaluate new business opportunities.
Analyze profitability to inform strategic recommendations to leadership.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs, delivering virtual and in-home care. They enhance existing care teams with compassion and commitment to children with medical complexity.
Develop and maintain scripts and analytical workflows using tools such as Python and/or R.
Assist with ad hoc and recurring data analysis to support underwriting strategy.
Shared ownership of an underwriting-focused suite of PowerBI dashboards and datasets.
Liberty Mutual's Personal Lines Property & Specialty Product team designs and launches home and specialty insurance solutions. They are focused on meeting customer and agent needs with program rollouts and technology modernization; they value creating a workplace where everyone feels valued, supported, and can thrive.
Collaborate with business partners to gather business reporting and analytics requirements to drive operational and clinical efficiency.
Utilize visualization tools (e.g., PowerBI) to design and create analytics dashboards and operational reports.
Identify and track issues with reports, including defects in logic, data quality problems, and process errors.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by focusing on delaying disease progression and shifting care to the home.
Monitor key growth and competitiveness metrics and recommend improvements.
Analyze data from various sources and turn it into meaningful qualitative insights.
Communicate technical work clearly to both technical and non-technical audiences.
Liberty Mutual strives to create a workplace where everyone feels valued and supported. They foster an inclusive environment with comprehensive benefits, flexibility, and professional development opportunities.
Analyze data to assist in the design of Value Based Programs.
Develop analytic and/or report requirements that support informed decisions regarding strategy initiatives.
Help identify, research, and resolve operational and other business issues relating to value-based programs and initiatives.
Capital Blue Cross is committed to the health and well-being of its members and communities. They have been voted as one of the “Best Places to Work in PA” and foster a flexible environment where employees are encouraged to volunteer and grow professionally.