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November 19, 2009
Health Outcomes Analyst
Location: Columbia, Maryland, US
Reports To: Director of Clinical Affairs and Data Analytics
Start Date: ASAP
Job Summary
Resolution Health Inc. (RHI) is seeking a Health Outcomes Analyst who has a proven track record in analyzing complex healthcare databases. The successful candidate will be responsible for conducting quantitative analyses to evaluate the clinical and economic impacts of RHI products and services. The Health Outcomes Analyst will be working with the core data analytics team along with physicians, pharmacists, and medical informatics staff to build statistical models to predict particular health outcomes. The ideal candidate will have Master’s level training with 2 or more years of work experience or a PhD in a health analytics field including epidemiology, economics, statistics, biostatistics, or actuarial science, and have experience using health care data in large data set capacities.
Duties and Responsibilities
- Design and perform analyses of the clinical and economic impacts of various quality improvement and cost reduction interventions on the care provided to groups of patients
- Design and perform analyses of factors associated with the effectiveness of quality improvement and cost reduction interventions
- Design and perform analyses of patient characteristics that are associated with particular health outcomes or are predictive of future use of particular health care services
- Assess the sensitivity, specificity, and predictive accuracy of particular RHI algorithms
- Develop algorithms that can be used in efforts to assure accuracy of analytic results
- Perform other analytical project work, or special projects, as assigned by supervisor
Qualifications
- Advanced statistical software programming experience (e.g. STATA or SAS) analyzing large administrative claims databases (e.g. over 5 million records)
- Experience with MS SQL Server or any other relational databases
- Familiarity with administrative claims data and standard medical/pharmacy coding schemes (e.g. ICD-9, HCPCS, and CPT-4)
- Competency with Microsoft office application and Access
- Strong written and verbal communication skills
- Demonstrated problem solving and organizational skills, with strong attention to detail
- Ability to manage multiple, diverse projects in a fast-paced environment with tight deadlines
Minimum Requirements
- Masters in public health, epidemiology, or biostatistics or other quantitative field (e.g actuarial sciences)
- At least 2 years of analytical experience in outcomes research design, epidemiology, and multivariate statistical analysis, preferably in a managed care setting
Supervisory Responsibilities
- None
Who We Are
RHI is a personal health care guidance company that provides services to many health plans, PBMs, disease management companies and employers. RHI is based in Columbia, MD and is a wholly owned subsidiary of WellPoint Inc., nation’s largest health insurer. RHI analyzes medical and prescription claims integrated with lab test results and other member-specific health data (e.g. health risk assessment and biometric data) to identify actionable patient-specific opportunities to improve compliance with “best clinical practices” and prescribed medication regimens, and/or responsibly reduce medical costs. Based on the results of these analyses, RHI sends personalized communications to patients and physicians to improve quality of health care and reduce medical care costs.
RHI’s Division of Clinical Affairs and Data Analytics consists of a team of clinicians, professional coders, epidemiologists, health services researchers and medical informatics experts who are responsible for the clinical components of RHI’s data analytic and member- and physician targeted interventions, as well as evaluation of the clinical and economic impacts of those interventions. We expect to be providing services to improve the quality and cost-effectiveness of health care delivered to 50 million Americans by 2011.
Contact Information
Send cover letter and resume/CV to recruiting@resolutionhealth.com
