Senior ACO Analytics Lead

Cape Cod Healthcare Inc; Hyannis (MA); On-site; USD 63,000 - 105,000; Full time

Job summary

Cape Cod Healthcare is seeking a Sr. ACO Analyst to develop metrics and reports for PHO/CCHN initiatives and value-based contracts.

You will work with EMR data, perform risk stratification, and support provider-level analyses to improve population health and contract performance. The role requires a BA/BS, 5+ years in healthcare informatics or analytics, strong SQL and Excel skills, familiarity with ICD-10/CPT codes, and experience with data visualization tools.

Qualifications

• Bachelor’s degree or equivalent combination of education and experience.
• 5 years of experience in healthcare informatics or analytics.
• Knowledge of ICD-10, DRG, CPT, HCPCS, revenue codes.
• Knowledge of SQL, reporting systems, relational databases and healthcare IT systems.
• Advanced Microsoft Excel experience.
• Ability to learn new information systems and data sets.
• Ability to prioritize multiple demands and present concepts clearly.
• Epic experience (preferred).
• CMS Medicare Shared Savings Program knowledge (preferred).
• Experience with CMS claim and claim lines (CCLF) (preferred).
• Experience with Power BI (preferred).
• Experience with Microsoft Fabric, Python, JavaScript, HL7 FHIR, USCDI (preferred).

Responsibilities

• Develops and maintains data sets for advanced reporting on PHO value-based care performance.
• Supports PHO case management and provider-level reports.
• Maintains dashboards and supporting documentation.
• Identifies trends in claims or EMR data and performs risk stratification.
• Extracts, transforms and loads data via flat files or APIs.
• Utilizes Epic and other EMRs to extract relevant analyses and validate data.
• Supports data exchange with payers for contract performance.
• Assists leadership with analyses of contract proposals and fee schedules.
• Implements data governance to document sources and methods.
• Analyzes population health trends and high-risk groups to improve care.
• Develops credible metrics and benchmarks to measure PHO performance.
• Delivers high-quality service to patients and staff.
• Suggests process improvements and supports continuous improvement culture.

Skills

Healthcare analytics

SQL proficiency

Advanced Excel

Communication

Independent/team work

Education

Bachelor's degree

Tools

SQL

Excel

Power BI

Epic

CMS data feeds (CCLF)

Microsoft Fabric

Python

JavaScript

HL7 FHIR

USCDI

Job description

Cape Cod Healthcare is seeking a Sr. ACO Analyst to develop metrics and reports for PHO/CCHN initiatives and value-based contracts.

You will work with EMR data, perform risk stratification, and support provider-level analyses to improve population health and contract performance. The role requires a BA/BS, 5+ years in healthcare informatics or analytics, strong SQL and Excel skills, familiarity with ICD-10/CPT codes, and experience with data visualization tools.