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Job Description
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Join to apply for the Medicare Data Analyst, Lead - REMOTE role at Amwins Global Risks
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Medicare Data Analyst, Lead - REMOTE Location: 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 partner with key business stakeholders to ensure end-to-end processes are built accurately and maintained.
Analyze Medicare data, including PDE submissions, MMR reports, and CMS Direct Subsidy allocations
Ensure data accuracy and compliance with CMS guidelines and reporting requirements
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
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
Highly creative and possess the ability to manage several projects concurrently
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
Employment type Full-time
Job function Information Technology
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