Healthcare Statistician (Pricing, Data Analysis and Coding) (Full-time, Remote)

Integrity Management Services, Inc. is a woman-owned small business specializing in assisting government healthcare organizations to prevent and detect fraud and abuse in their programs. The Healthcare Statistician will provide analytical and statistical data support, utilizing statistical software to perform complex analyses and create reports to guide departmental efforts.

Responsibilities:

• Works with databases performing functions including data cleaning and maintenance; extracting data, importing/exporting data into various formats
• Perform complex statistical analyses of Medicare Fee-For-Schedule (FFS) Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) claims data and create reports on trends, significant changes and other relevant factors
• Creates materials that aid in illustrating analytics/data findings
• Compiles, verifies, and interprets data to guide departmental efforts
• Conduct quantitative and qualitative data mining and statistical analyses:
• · Uses SAS, MS Access, and Excel
• · Performs data analysis to create summaries and result tables
• · Runs summary statistics
• · Conducts research relevant to the analysis being done
• · Refines database queries to generate subsets of databases and tables
• · Creates clear, concise, and complete materials including but not limited to reports, memos and/or data files for submission to the client
• · Create project presentations at the request of manager and other stakeholders
• Communicates with technical and non-technical end users, providing clear explanation of procedures used and results obtained from data analysis tasks
• Provides analytical support for internal quality reviews, audits, and client inquiries, including validating results and responding to data-related questions
• Seeks opportunities for additional training to improve skills necessary to perform job responsibilities
• Leads and/or participates in team projects and brainstorming sessions to assess various methodologies for study designs
• Remains informed regarding industry changes, trends, best practices and applicable regulations and assesses impact of changes on the project
• Performs ad hoc tasks/duties as assigned
• Ensures compliance with all applicable privacy and security training requirements (both IntegrityM and external/client-based), whether on an annual or ad/hoc basis. Please note: certain position levels (leads, managers, directors or higher) may require additional “role-based” training to ensure compliance with applicable privacy and security requirements
• Exercises appropriate discretion and independent judgment relating to company policies and practices in an effective, consistent and professional manner
• Adheres to applicable policies ensuring commitment to quality, compliance and security to protect the confidentiality, integrity, and availability of sensitive data and information
• Adheres to all IntegrityM and/or client privacy and security protocols governing sensitive and/or business confidential information

Requirements:

• Required education of a Bachelor's degree in statistics/biostatistics, mathematics, computer science, or other job related field
• Required work experience of two years' SAS programming
• Possesses a minimum of 3 years of data analysis experience within the healthcare industry
• Advanced knowledge of analytic, mathematical, and statistical methods. Relevant computer programming skills
• Proficient in project software: Python, Databricks, SAS, SQL, Excel, Word, PowerPoint, Business Objects, and Outlook
• Responds to tasks or requests in a cooperative and timely manner
• Demonstrates adaptability to change and initiates or identifies change when necessary
• Ability to communicate effectively in writing and orally conveying results in concise yet non-technically language to a variety of different audiences
• Ability to work independently and as a member of a team to deliver high quality work
• Ability to multitask and prioritize assignments while meeting deadlines
• Passion and alignment with IntegrityM's mission, vision, values and operating principles
• Must pass post hire background screening checks
• For remote work, required to have wired and/or wireless internet access
• Ability to obtain security clearance, if required by Client/Contract
• Preferred work experience of two years' experience with statistical practices and two years relational database experience. (May be concurrent)
• Preferred knowledge of Medicare claims data, CMS policies, and DMEPOS program requirements