Job Type
Full-time
Description
Requirements
We are seeking an experienced Statistician to support a CMS healthcare program. In this role, you will apply advanced statistical and quantitative methods to support program performance monitoring, data quality analysis, and dispute resolution analytics. The Statistician will play a critical role in helping CMS understand trends in out-of-network billing disputes, IDR case outcomes, and program compliance data under the No Surprises Act.
Key Responsibilities - Design and execute statistical analyses supporting program reporting, quality assurance, and performance measurement
- Develop and maintain analytical models to assess IDR case trends, payment patterns, and dispute resolution outcomes
- Produce statistical summaries, dashboards, and data visualizations for CMS program stakeholders
- Ensure data quality and integrity across program data systems; identify anomalies and reporting inconsistencies
- Support development of CMS-required performance metrics and program evaluation reports
- Apply sampling methodologies, regression analysis, and predictive modeling as appropriate
- Collaborate with IT/data engineering teams to access and process large-scale claims and case management data
- Respond to ad hoc analytical requests from CMS leadership and policy teams
Minimum Qualifications - Master's degree or Ph.D. in Statistics, Biostatistics, Epidemiology, Mathematics, Health Services Research, or a closely related quantitative field
- 3+ years (Master's) or 1+ year (Ph.D.) of applied statistical analysis in a federal health program or healthcare setting
- Proficiency in statistical software: R, SAS, STATA, or Python (pandas, scipy, statsmodels)
- Experience with large administrative datasets (claims data, case management data, or similar)
- Strong foundation in descriptive statistics, regression modeling, hypothesis testing, and sampling methodology
- Demonstrated ability to communicate statistical findings clearly to non-technical audiences in written reports and presentations
- Must be eligible for CMS Public Trust (MBI) clearance
Preferred Qualifications - Direct experience with CMS data systems (CCW, IDR portal data, MAX/T-MSIS, or similar)
- Familiarity with health insurance claims data, provider billing, or out-of-network payment analytics
- Experience with federal program evaluation, GAO audit support, or OIG data analysis
- Background in dispute resolution data analysis, legal analytics, or regulatory compliance metrics
- Experience with data visualization tools (Tableau, Power BI)
- Knowledge of No Surprises Act or surprise billing policy analytics
*Commence' headquarters are in Virgina Beach, VA, however we are open to remote candidates in the following states: AZ, AR, DE, FL, GA, IL, IN, KS, KY, MA, MD, MI, MS, MO, MT, NC, NE, NV, NY, OH, OK, PA, SC, TN, TX, VA, DC, WI, and WV* 
