Medicare Data Analyst, Lead - REMOTE

Starr Underwriting; Deutschland; Remote; EUR 70.000 - 90.000; Vollzeit

Zusammenfassung

A healthcare analytics company is seeking a Medicare Data Lead Analyst in Germany to analyze healthcare data related to Medicare programs. This role involves working with large datasets, ensuring compliance with CMS regulations, and providing insights to improve healthcare outcomes. Candidates should have a Bachelor's degree and 5+ years of experience in pharmacy benefit management or health insurance, with strong knowledge of Medicare Part D data.

Qualifikationen

• 5+ years of experience in pharmacy benefit management or health insurance.
• Experience with Medicare Part D data, including PDE and MMR reporting.
• Strong understanding of CMS regulations and healthcare analytics.

Aufgaben

• Analyze Medicare data, focusing on PDE submissions, MMR reports, and subsidy allocations.
• Ensure data accuracy and compliance with CMS guidelines.
• Lead process improvement strategies for data collection and reporting efficiency.

Kenntnisse

Project management

Critical thinking

Professional communication

Ausbildung

Bachelor’s Degree in related field

Tools

SQL

SAS

R

Python

Power BI

Tableau

Qlik

Jobbeschreibung

PURPOSE: The Medicare Data Lead Analyst will be responsible for analyzing and interpreting healthcare data related to Medicare programs, specifically focusing on CMS Direct Subsidy, PDE, and MMR. The role involves working with large datasets, ensuring compliance with CMS regulations, and providing insights to improve healthcare outcomes and financial performance. They will work closely with other team members to collaborate and support team processes. They will partner with key business stakeholders to ensure end-to-end processes are built accurately and maintained.

Key Responsibilities

• Analyze Medicare data, including PDE submissions, MMR reports, and CMS Direct Subsidy allocations
• Ensure data accuracy and compliance with CMS guidelines and reporting requirements
• Maintain and manage large datasets related to Medicare Part D and other relevant programs
• Monitor performance through tracking trends and identifying discrepancies in subsidy allocations and prescription drug events
• Work with cross-functional teams, including finance, IT, and healthcare professionals, to optimize Medicare data usage
• Lead process improvement through developing strategies to enhance data collection, reporting, and analysis efficiency
• Support ad-hoc and reoccurring work as needed
• Design, build, and maintain business intelligence reporting in collaboration with team leadership
• Continually focus on growing technical skills related to reporting tools and coding languages
• Partner with leadership and other key business contacts to ensure Medicare data and reporting knowledge is developed and maintained
  
  

Qualifications

• Highly creative and possess the ability to manage several projects concurrently
• Ability to prioritize effectively and to work efficiently
• Ability to work both autonomously and together as a team
• Highly organized and deadline driven
• Critical thinking and solution seeking
• Professional communication skills, both oral and written to all levels of an organization
  
  

Knowledge, Experience, And Education

• Bachelor’s Degree in related field, or equivalent experience
• 5+ years’ experience in pharmacy benefit management, health insurance, or related industry
• Experience with Medicare Part D data, including PDE and MMR reporting
• Strong understanding of CMS regulations and healthcare analytics
• Intermediate to expert in SQL, SAS, R, Python, or other database languages
• Intermediate to expert in Power BI, Tableau, Qlik, or similar tool, preferred