COPE Health Solutions Careers

The Manager is responsible for developing financial models and leading analytics for client engagements, utilizing a combination of health system, payer and market data. This role will be working with a cross-functional team in a centralized firm role, supporting multiple accounts, and is responsible for working closely across firm and client leadership to meet the population health analytic needs of our clients.

Position Description:

• Generate quantitative analyses and financial models analyzing available data and the drivers of health care trends, providing forecasts and detailed assumptions with relation to Medical Loss Ratio, Out-of-Network utilization, RAF scores, premium revenue and membership growth)
• Build or configure financial models, financial statements, budgets and analytical reports based on client and team specifications
• Build, update and optimize financial, analytic, network analytics related tools as needed, making enhancements to existing product toolkits under the guidance of the VP of Operations
• Deliver effective decision-making support by analyzing complex financial information, forecasting business, industry and economic conditions and presenting implications and proposed solutions to clients and company leadership
• Build models that inform future clinical, financial, and operational performance, based on standard set of KPIs
• Manage validation and documentation processes for team’s work outputs to ensure reliability of models, reproducible results and replication of the production process

• Lead the implementation of use cases and models to project and test key client needs with respect to population health and financial modeling
• Collaborate with in-house analytics and financial modeling teams to inform further development of existing product tools and/or offerings
• Manage client deliverable from scope development to output generation, with responsibility of informing the firm’s leadership of issues affecting timeline and outputs

Qualifications:

• Bachelor’s degree with a quantitative, healthcare, business or technical focus required, Graduate degree preferred
• 5-7 years of professional experience performing financial modeling and/or analytics at a health plan, consulting firm or health system/provider group in a client services capacity
• Experience working with medical and pharmaceutical claims, member eligibility and provider files preferred
• Awareness of population health analytics and health care data (e.g., CPT/HCPS, ICD9/ICD10, revenue codes, DRGs, risk scores), Medicare and Medicaid value-based care arrangements and dual-risk and capitation models preferred
• Proficiency in SQL is a plus
• Ability to effectively manage and communicate with technical contributors and business colleagues to translate business requirements to technical specifications
• Understanding of Medicare, Medicaid and/or Commercial health plan and payment methodologies (e.g., APC, RVU, PPS)
• Familiarity of data visualization and business intelligence platforms (e.g., Tableau, PowerBI)

• Knowledge of predictive modeling and ability to communicate its complexity to end users/clients
• Ability to facilitate strategic discussions around areas of expertise with diverse stakeholders (executives, physicians and analysts) regarding data management, population health analytics and infrastructure
• Flexibility to work late nights and weekends as needed
• Ability to travel consistent with firm policies and client preferences

Benefits:

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.

What We Do:

COPE Health Solutions is a national mission-driven consulting firm that partners with health systems and payor clients. We provide our clients with the tools, services and advice they need to thrive in the current complex and uncertain pluralistic payment environment and achieve visionary, organizationally relevant results. Our firm has expertise in all aspects of population health, strategy, delivery system development, payment systems reform, workforce development and population health management support services, including peerless analytics and performance improvement. We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed as health care moves to value-based care.

Our multidisciplinary team of health care experts provides our clients with the experience, capabilities, and tools needed to plan for, design, implement and support both the development and execution of strategy and developing solutions to some of the industry’s most complex problems. We partner with our clients through aligned mission and financial incentives to pursue performance excellence in a challenging and rapidly evolving health care environment.

To Apply:

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.