OVERSIGHT ANALYTICS LEAD
Apply NowCompany: Healthcare Management Solutions LLC
Location: Fairmont, WV 26554
Description:
Program Overview
The Medicare Drug Price Negotiation Program Monitoring, Oversight, Compliance, and Auditing (MOCA) Contract will facilitate the successful implementation of the entirety of the Medicare Drug Price Negotiation Program.
The program will support the successful administration of the Negotiation Program by collecting and analyzing data, and auditing and investigating (as needed) dispensers, pharmacies, mail order services, and manufacturers' complaints/disputes. Contractual support aims to: enhance oversight of substantive noncompliance that hinders negotiations and renegotiations; promote participation and compliance during voluntary negotiations and renegotiations; and ensure the compliant effectuation of the Maximum Fair Price (MFP).
This opportunity is available as remote.
Oversight Analytics Lead will be responsible for the following:
Requirements
EOE STATEMENT: Healthcare Management Solutions, LLC has established an Affirmative Action Plan. HMS is deeply committed to the concept and practices associated with equal opportunity and affirmative action in all aspects of employment. HMS makes clear that all applicants will be treated without regard to race, color, sex, religion, national origin, age, disability, genetic information, sexual orientation, ancestry, marital status, changes in marital status, pregnancy or parenthood, gender, or gender identity or expression, military or veteran status, political affiliation, or any other protected characteristics under applicable law when the reasonable demands of the position(s) do not require distinction on the basis of age, disability, sex, marital status, changes in marital status, pregnancy, or parenthood.
This company does not tolerate unlawful discrimination in its employment practices. We recognize the value of diversity in our workforce and encourage all qualified candidates to apply. We thank all candidates who choose to apply, however, only those selected for a further interview will be contacted.
Equal Opportunity Employer/M/F/Vet/Disabled
HMS is an EEO/AA/E-Verify compliant and drug free workplace employer.
The Medicare Drug Price Negotiation Program Monitoring, Oversight, Compliance, and Auditing (MOCA) Contract will facilitate the successful implementation of the entirety of the Medicare Drug Price Negotiation Program.
The program will support the successful administration of the Negotiation Program by collecting and analyzing data, and auditing and investigating (as needed) dispensers, pharmacies, mail order services, and manufacturers' complaints/disputes. Contractual support aims to: enhance oversight of substantive noncompliance that hinders negotiations and renegotiations; promote participation and compliance during voluntary negotiations and renegotiations; and ensure the compliant effectuation of the Maximum Fair Price (MFP).
This opportunity is available as remote.
Oversight Analytics Lead will be responsible for the following:
- Collects, manages, and analyzes data from various sources, including pharmacies, dispensers, and manufacturers, to identify trends and potential compliance issues.
- Collaborates with the Senior Project Manager to produce actionable insights from the data, supporting the enforcement of the MFP.
- Develops data models, dashboards, and reports that summarize key findings and support decision- making for program leadership.
- Ensures data integrity and accuracy throughout all program-related analysis, including during audits and investigations.
Requirements
- A minimum of seven (7) years' experience leading interdisciplinary teams in all aspects of data science lifecycle, including but not limited to: gathering and storing data; processing and converting data into clean, organizing information; developing tools and processes for analysis; applying various tools and techniques to provide findings and insights from structured and unstructured data; combining, analyzing and interpreting large and/or complex data sets; applying data governance; and working within established systems and networks.
- Proficiency in data analysis tools such as SQL, Python, R, or similar, as well as experience with data visualization platforms.
- Experience working with large datasets.
EOE STATEMENT: Healthcare Management Solutions, LLC has established an Affirmative Action Plan. HMS is deeply committed to the concept and practices associated with equal opportunity and affirmative action in all aspects of employment. HMS makes clear that all applicants will be treated without regard to race, color, sex, religion, national origin, age, disability, genetic information, sexual orientation, ancestry, marital status, changes in marital status, pregnancy or parenthood, gender, or gender identity or expression, military or veteran status, political affiliation, or any other protected characteristics under applicable law when the reasonable demands of the position(s) do not require distinction on the basis of age, disability, sex, marital status, changes in marital status, pregnancy, or parenthood.
This company does not tolerate unlawful discrimination in its employment practices. We recognize the value of diversity in our workforce and encourage all qualified candidates to apply. We thank all candidates who choose to apply, however, only those selected for a further interview will be contacted.
Equal Opportunity Employer/M/F/Vet/Disabled
HMS is an EEO/AA/E-Verify compliant and drug free workplace employer.