Data Scientist-Medicare/Medicaid Claims Data

ADVI Health

$90K — $140K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Master's or PhD in Data Science, Biostatistics, Health Economics, Epidemiology, Public Health, Computer Science, or related field
  • Minimum 3 years experience with SAS, SQL, or relevant programming in healthcare and life sciences
  • Proven experience in large-scale health data analysis, including claims and clinical data
  • Familiarity with CMS' Chronic Condition Warehouse data
  • Experience in the Virtual Research Data Center (VRDC)
  • Knowledge of Medicare SAF, RIF, or Medicaid T-MSIS data

Responsibilities

  • Design and execute analyses using Medicare and Medicaid healthcare claims
  • Lead development and production of deliverables like Excel workbooks and PowerPoint presentations
  • Communicate results effectively to stakeholders
  • Manage data analysts and oversee quality assurance of programs and analyses
  • Conduct health economics and outcomes research (HEOR) and evidence-generation studies

Benefits

  • Medical, dental, and vision health coverage
  • 8 paid holidays, including an ADVI Anniversary Day
  • 401(k) match up to 3% of salary with immediate vesting
  • Health Reimbursement Account
  • Life and short-term/long-term disability insurance
  • Paid vacation and sick leave
Full Job Description
Position Overview:

We are seeking a Data Scientist to join our growing Strategic Analytics, Value, and Economics team. In this role, you'll leverage advanced data science and health economics methods to help shape access to life-saving therapies and innovations. You'll work with rich, real-world healthcare data including Medicare and Medicaid claims to uncover insights that directly inform policy, pricing, and patient access decisions across the life sciences sector. This position offers the opportunity to apply your analytical expertise to real-world evidence (RWE), health outcomes, and market access challenges while making a measurable impact on how treatments reach the patients who need them most.

The person in this role will perform healthcare claims-based analytics for a variety of internal and client-facing teams. Analytics work will include health economics and outcomes research (HEOR), market basket assessment of diseases or treatment usage, and related evidence-generation studies.

Job Duties
• Designing and executing analyses in Medicare and Medicaid healthcare claims
• Lead in the development and production of deliverables (Excel workbooks and power point decks) as well as communicating results to shareholders
• Manage data analysts and assist in the QA of programs and analyses

Requirements

  • Master's or PhD in Data Science, Biostatistics, Health Economics, Epidemiology, Public Health, Computer Science, or a related quantitative field
  • At least 3 years of professional experience with SAS, SQL, or other relevant programming experience applying data science in healthcare, HEOR, or life sciences.
  • Demonstrated experience with large-scale health data analysis (claims, EHR, registry, or clinical trial data).
  • Experience working with data offered in the CMS' Chronic Condition Warehouse
  • Experience working in the Virtual Research Data Center (VRDC) offered by CCW
  • Experience working with data in Medicare Standard Analytic Files (SAF), Research Identifiable Files (RIF), or Medicaid T-MSIS data

Location

Candidates can be based anywhere in the U.S., with a preference for those operating in the Eastern or Central Standard Time Zone. Candidates based in Washington, DC or Austin, TX, will have the option of hybrid work arrangements.

Compensation and Benefits

The salary range is $90,000-$140,000 annual base salary plus bonus plan. Exceptionally qualified candidates will be evaluated according to experience levels. Please include your salary requirements with your application if they exceed the posted range. ADVI offers an outstanding benefits package, including the following:
• Medical, dental, and vision
• 8 paid holidays, including one ADVI Anniversary Day per calendar year
• 401(k) retirement contribution match, up to 3 percent of salary, with immediate vesting
• Health Reimbursement Account
• Life and short-term and long-term disability insurance
• Paid vacation and sick leave

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