Careers at Double M Resources

Permanent position
Brea, CA

Summary:
The Healthcare Analyst provides clinical and financial analysis and reporting for existing clients and provides support for pricing new business.

Essential Duties and Responsibilities:

• Acts with honor and integrity, serving as a role model for the company.
• Analyzes prospective and current client utilization data to identify utilization trends, calculate cost of healthcare and identify opportunities to add value to customers.
• Works with internal business customers to define report and dashboard requirements for use in managing day to day operations more efficiently.
• Assists with the QC/Validation of the data currently being developed into the data warehouse.
• Validates the completeness of potential client data files using various techniques.
• Extracts and compiles both internal and external data elements used in all aspects of the business from client pricing, medical cost management, operational reporting and general financial analysis as required.
• Populates existing pricing model with potential client information and makes suggestions on potential improvements to the model or corresponding presentation/reporting.
• Participates in or conducts presentations to prospective clients regarding pricing methodologies.
• Reconciles capitation payments to eligibility data to ensure monthly payments received are accurate.
• Calculates and analyzes monthly capitation payments made to network providers; identifies and investigates unusual fluctuations and determines root cause of potential problems.
• Conducts recurring and ad hoc provider utilization analyses; prepares meaningful, professional reports for health plans.
• Respects and maintains HIPAA confidentiality guidelines.
• Acts as an interdepartmental liaison between offices, departments, and committees.
• Performs other duties as assigned.

Project Management and Execution:

• Coordinate with other departments across the AO such as IM governance & EDW and support conceptualization and development of reporting/analytical methodologies, solutions and initiatives
• Aid in the development of project plans and strategies as well as execute assigned project plans to deliver solutions in a timely manner
• Support collaboration on roadmaps, dependencies, and execution plans across analytical units and with applicable teams in the organization
• Manage the intake requests across the business units; track and monitor the work to ensure critical milestones are met, identify and report/escalate risks to management appropriately; manage stakeholder relations
• Obtain data, direct/execute reporting/analysis, perform interpretations and conclusions, and prepare recommendations.
• Assist in determining business needs by effectively conducting fact-finding interviews and leveraging various tools and analytical methods and then summarize findings in a coherent manner to develop and propose appropriate solution
• Conduct research studies that include collecting data from various sources, analyzing, trending and presenting the findings and recommendations to management
• Support translation of business requirements and unstructured business issues into data analytic problems
• Perform overall program evaluations (i.e., planning-implementation-completion/analysis-reporting) and other assessments such as change management assessments, workflow optimization assessments, etc.

QUALIFICATION REQUIREMENTS:
EDUCATION and/or EXPERIENCE:

At least a Bachelor's degree with emphasis in Economics, Computer Science, Statistics, Math or Business, or equivalent work experience.

• Minimum of 4-6 years’ work experience in an analytical role
• Master degree in a quantitative field preferred.
• Work experience with line item healthcare claims and PBM information is preferred. OTHER SKILLS and ABILITIES:
• An understanding of CPT, ICD-9, Revenue and DRG codes is preferred.
• Must have expensive experience and proficiency leveraging SQL, including loading data, writing update and select statements, and joining tables.
• Experience with Excel spreadsheets and other office productivity applications to share and present analytic results.
• Experience with SAS.
• Experience with statistical analysis tools such as SAS Office Analytics desired.
• Experience with business Intelligence tools such as SAS Visual Analytics desired.
• Ability to understand and work with a variety of data formats to create charts, graphs, tables, and other visual means of representing key aspects of the data.
• Strong written and verbal communications, including the ability to summarize the results of data analysis for technical and non-technical audiences. Must also be comfortable presenting this information via in person meetings as well as webinar technologies.
• Experience with technical writing preferred.
• Must have strong analytical skills with the ability to develop advanced analytic models (e.g. forecasting).
• Must be skilled at prioritizing assignments and working to ensure all mission critical timeframes and deadlines are met.
• Must be able to work independently and demonstrate initiative and problem solving skills working within a fast paced start up environment

Permanent position
Pasadena, CA

Summary: This position is responsible for proactively creating and maintaining the demand plan for products and presenting it cross-functionally to gain alignment and buy-in.  The role has accountability for the accuracy and comprehensiveness of the demand plan and will leverage communication, quantitative analytic, problem solving and forecasting skills with cross-functional departments to aggregate or gain input into all demand for their assigned business.  They will proactively measure, evaluate and iteratively improve the accuracy of the demand plan through heavy, cross functional collaboration with the Sales, Marketing and Operations teams.  They will leverage robust analytical capabilities and varying data to perform ad hoc analysis independently and/or jointly with other counterparts to identify opportunities and recommend solutions for how the Supply Chain can improve operational performance.

Responsibilities:

• Analyze factors that impact demand for products (i.e., category trends / trade promotions / competitive products / seasonality / retail consumption / distribution channels), and build statistical models that quantify the business environment.
• Function as the primary expert regarding demand for products. Use this expertise to advise the consensus team regarding how various demand events impact sales.
• Gather and incorporate quantitative and qualitative information from the business units and Sales to maintain an accurate demand plan.
• Maintain an accurate weekly statistical baseline sales forecast of products.
• Measuring forecast accuracies at various lags deemed appropriate by the business.
• Present statistical forecast to consensus team comprised of both technical and non-technical individuals.
• In partnership with the Sales team provide insight into ROI of prospective promotions and subsequently share recommendations. Will be asked to run breakeven and postmortem sales lift analysis.
• Collaborate with fulfillment personnel to understand the impact of Sales Orders on future forecasts in the short term.
• Adjust forecasts ad hoc when orders are not developing as expected.
• Ensure clarity by communicating key issues and uncertainty behind the forecast with key counterparts.
• Run weekly cross-functional meetings to ensure all groups are aligned on all initiatives.
• Other functions as required.

Requirements:

• Minimum 1 (one) to 3 (three) years of experience in the areas of forecasting, demand planning and/or supply chain required.
• BA/BS in an analytical field preferred.
• MBA / MS desirable.
• Coursework in a combination of 2 years Economics, Calculus, and Statistics desirable.
• Work experience in consumer goods Sales/Marketing desirable.
• Experience working with large volumes of data and experience in quantitative analytics a plus.
• Strong analytical aptitude with a proven ability to analyze/interpret data and build quantitative models of business problems.
• Excellent oral and written skills, organizational and time-management abilities, effective inter-personal skills, and the ability to work with personnel at all organizational levels.
• Flexibility and adaptability to the demands and requirements of a fast-paced environment with multiple demands and priorities.
• Excellent creative thinking skills with emphasis on developing innovative solutions to complex problems that may not have one clear answer.
• Understanding how consumer behavior and macroeconomic variables can affect demand and supply.
• Understanding of multi-variable linear regression and exponential smoothing models.
• Understanding requirements to setting up unbiased test and control groups.
• Ability to communicate complex statistical models in simple and non-technical terms.
• Ability to find errors in large data sets and identify significant data amid large volumes of routine information.
• Ability to quickly pick up and learn proprietary new systems and tools.
• Experience with MS Office suite especially Excel, Access and Power Point.
• Experience with MicroStrategy, Tableau, SQL, base SAS, SAS forecast studio, or other SAS procedures and /or processes preferred.

Permanent position
Albuquerque, NM

SKILLS: Bachelor degree in a quantitative, business, or healthcare related subject. A Masters degree is highly preferred. Four or more years of combined experience in business intelligence, reporting and analytics preferably in a healthcare setting. Demonstrated project management skills as well as the ability to efficiently work and manage teams and resources. Experience working on complex analytical projects with diverse teams and developing data driven and outcome based initiatives to improve business decision making and operational efficiencies. Knowledge of health plan and delivery system operations, health care informatics, and healthcare benefits and terminology (e.g., care management). Understanding of operations in the Health Care industry and a strong acumen of business processes, including operations, delivery models and revenue models. Understanding of program evaluation life cycle, predictive modeling, data mining, and clinical best practices preferred. Content knowledge related to program outcomes evaluation, BI tools (e.g., BO), data visualizations tools (e.g., Tableau), statistical software such as SAS and Modeling techniques, as well as general health service research and outcomes reporting/analytics. Working knowledge of healthcare industry and healthcare information standards such as HL7, LOINC, FHIR, ICD 9/10 and CPT codes, industry standard groupers (e.g., ETGs, DRGs, DCGs, etc.) as well as of health care delivery system processes. Excellent written and oral communications is a MUST.

Summary:
Support portfolio management of reporting/analytics solutions across the business units in the analytics organization. Identify business issues/problems, form hypotheses, plan and conduct interviews, whiteboard sessions & perform reporting/analysis to synthesize conclusions, transform them into recommendations and develop a solution. Lead and manage small cross functional team to implement, test and deploy the approved reporting/analytics solution in response to the business (clinical/operational/financial) needs. Identify reporting/analytics improvement opportunities and provide proactive, consultative strategic solutions. Responsible for mentoring junior analysts as well as coordinating various reporting/analytics initiatives with end business users. Support reporting/analytics projects prioritization and planning as well as conduct due diligence concerning business implications of planned solutions.

Responsibilities:
Consultation and Communication:

• Ability to collaborate and partner with management, project managers, and IT to develop, implement and manage reporting/analytics portfolio with the vision & goals of specific Hub/Spoke core teams
• Effective communication skills across the organization and at different levels, strategic thinking and actions to influence key stakeholders and business decisions
• Support day-to-day consultation to business users and participate and contribute cross-functional project teams
• Work with business stakeholders to identify business needs and support creation of the use cases and user stories satisfying those needs

Project Management and Execution:

• Coordinate with other departments across the AO such as IM governance & EDW and support conceptualization and development of reporting/analytical methodologies, solutions and initiatives
• Aid in the development of project plans and strategies as well as execute assigned project plans to deliver solutions in a timely manner
• Support collaboration on roadmaps, dependencies, and execution plans across analytical units and with applicable teams in the organization
• Manage the intake requests across the business units; track and monitor the work to ensure critical milestones are met, identify and report/escalate risks to management appropriately; manage stakeholder relations
• Obtain data, direct/execute reporting/analysis, perform interpretations and conclusions, and prepare recommendations.
• Assist in determining business needs by effectively conducting fact-finding interviews and leveraging various tools and analytical methods and then summarize findings in a coherent manner to develop and propose appropriate solution
• Conduct research studies that include collecting data from various sources, analyzing, trending and presenting the findings and recommendations to management
• Support translation of business requirements and unstructured business issues into data analytic problems
• Perform overall program evaluations (i.e., planning-implementation-completion/analysis-reporting) and other assessments such as change management assessments, workflow optimization assessments, etc.

Training and Guidance:

• Manage and support teams to structure data and analysis to analyze issues and proactively identify improvement opportunities
• Responsible for the work flow management of analysts and ensuring reliability, integrity, and timeliness of end products
• Support coordination of training for analysts in core and expanded business department

Thought Leadership:

• Support in development of presentations/publications/point-of-views with senior leadership within the AO
• Contribute towards and assist senior leadership in developing a year-end value story to demonstrate value of the team and their contribution to progress towards the AOs and PHSs goals

Competencies and skills:
Essential:

• SKILL-Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff using strong dialogue and customer service competencies.
• SKILL-Written communication

Nonessential:

• Analytics skills
• SKILL-Decision Making
• SKILL-Project management methods and tools in support of managing Scope, Time, Cost, Quality, Communication, Risk, and Procurement Management;

Albuquerque, NM
Permanent position

Summary
Operate at the frontier of innovative analytics. Introduce and implement newest market developments and trends in analytics to business leaders and fellow scientists. Initiate and execute new projects and incorporate new concepts into existing products. Work with Analytics Organization (AO). Develop and transition new analytics to other hub and teams to meet business leader needs. Generate market and business insights through research and advanced, predictive, and optimization analytics.

Organizational Competencies

• Educating customers and transferring knowledge
• Diagnosing and resolving problems
• Anticipating and addressing customer needs
• Acquiring and applying superior skills to achieve quality outcomes
• Responding to a changing circumstance

Customer Specific Competencies

• Coordinating activities
• Managing others expectations
• Communicating with individuals and groups

Leadership Competencies

• Mentoring/developing other scientists
• Assure quality of work of other scientists
• Developing a plan
• Managing other’s expectations
• Coordinating activities

Individual Skill Based Competencies
Bachelor’s, masters or PHD degree in a quantitative or related subject. Five or more years of related business intelligence, analytics and reporting work experience. Demonstrate extensive knowledge of sophisticated and varied statistical modeling concepts and models. Ability to create/develop/customize innovative analysis and descriptive, prescriptive and predictive models. Ability to design models that support business decision making and generate actionable insight.

The preferred candidate will have knowledge of the healthcare business operations, medical and/or healthcare system administration informatics, and advanced statistical concepts and modeling tools and techniques.

Mental Power: Ability to make complex decisions which are varied and in many cases require solutions to be developed. Ability to interpret regulation and develop policies, procedures and protocols.

Mental Power: Ability to determine appropriate courses of action in more complex situation that may not be addressed by existing policies, procedures or protocols.

Physical Power: Move about the facility, arm/hand movements. Travel by automobile may be required.

Summary of Primary Functions:

• Initiate and implement innovative analytics/solutions (predictive and optimization analytics)
• Train analytical talent on the appropriate use and interpretation of new analytical models and facilitate integration of the models into existing business analyses.
• Leverage understanding of complex statistical, big data and technical concepts to advance portfolio of solutions.
• Keep pace with market developments and trends in analytics.
• Represent externally.
• Inform leaders and business stakeholders of issues and risks.
• Work closely with leaders, staff and business leaders to transition innovative solutions to other teams.
• Work independently while managing multiple tasks, milestones, deadlines, and customer relationships.
• Assure and maintain the quality of work products of peers.