Lead Analyst, Value Based Care

About the Role 

The Lead Analyst of Value-Based Care is a key role within the central analytics team. This critical role will deliver insights for multiple teams including medical economics, population health, finance, & operations. The role will be instrumental in helping Hopscotch drive truly best in class results.  

In the first 12 months, this role will require a balance of driving critical insights through ad hoc analysis, building reports/visualizations, and contributing to key data & analytical models for the organization. All activities will be focused on driving success in a value-based care company that is on a mission to change healthcare for Medicare members in rural America. 

This role provides an opportunity to join a growing organization and team.  An ideal candidate is excited about using data to drive change, enjoys coding, likes collaborating with others, has a natural curiosity and eagerness to solve both business and technical problems, and is excited about doing work that improves the lives of others.  

What You'll Do 

• Partner with Medical Economics & Population Health teams to identify and quantify areas of opportunity, frame reporting frameworks, and develop standard reporting packages for key performance indicators aimed at healthcare cost containment and optimization efforts 
• Design and execute analyses that inform a deeper understanding of the Hopscotch patient base and subgroups 
• Support care model initiative tracking, savings and ROI estimates, and KPI dashboards 
• Coordinate with appropriate groups to troubleshoot issues and uncover improvement opportunities 
• Partner with Population Health team, leveraging patient and medical expense analysis, to help shape and test hypotheses for delivering improved patient outcomes 
• Collaborate effectively across stakeholders from different Hopscotch teams, earning the trust of key business partners 
• Utilize Python, Palantir Foundry, Excel, Power BI, and other tools to define, extract, validate, shape, and interpret data to meet business needs. Accountable for accuracy of work product 
• Review monthly payer claim, eligibility, and revenue data 
• Must be able to travel to other company sites or business functions, as needed 
• Other duties as assigned 

About You 

• BA/BS in Analytics, Computer Science, Economics, Engineering, Epidemiology, Mathematics, Operations Research, or other quantitative discipline preferred 
• 5 years of experience in healthcare analytics, with substantial expertise in value-based care models, risk adjustment methodologies, and population health analytics 
• Proven track record of leading analytical projects that have directly influenced business decisions in healthcare organizations 
• Deep knowledge of healthcare payment models, especially Medicare Advantage, ACOs, and other risk-bearing arrangements 
• Advanced proficiency in analytical techniques including statistical analysis, data modeling, and performance measurement in healthcare 
• Technical expertise in programming languages (Python, R), SQL, healthcare data structures, and analytics platforms 
• Strong understanding of healthcare economics, clinical quality measurement, and the relationship between financial and clinical performance 
• Significant experience working with healthcare data and value-based payment methodologies 
• Excellent communication skills with ability to translate complex analyses into actionable insights for diverse stakeholders 
• Demonstrated ability to apply innovative analytical approaches to solve complex healthcare challenges 

From a cultural perspective, you:   

• Create a culture of excellence, by bringing your best and encouraging the same from those around you  
• Put service to patients first and encourage the same of those around you  
• Take ownership and accountability for your work and for delivering results for patients   
• Assume the best in others and bring solutions to challenges with a focus on moving forward together  
• Show an active commitment to the team by collaborating and communicating proactively   
• Demonstrate a dedication to continuous improvement, in clinical and cultural settings