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Company Information: RHI
is a personal health care guidance company that provides services to
many health plans PBMs disease management companies and employers.
RHI is based in Columbia MD and is a wholly owned subsidiary
of
WellPoint Inc. nation's largest health insurer. RHI analyzes medical
and prescription claims integrated with lab test results and
other
member-specific health data (e.g. health risk assessment and biometric
data) to identify actionable patient-specific opportunities to
improve compliance with "best clinical practices" and
prescribed
medication regimens and/or responsibly reduce medical costs. Based on
the results of these analyses RHI sends personalized communications to
patients and physicians to improve quality of health care and reduce
medical care costs. RHI's Division of Clinical Affairs and
Data Analytics
consists of a team of clinicians professional coders epidemiologists
health services researchers and medical informatics experts who are
responsible for the clinical components of RHI's data analytic
and
member- and physician targeted interventions as well as evaluation of
the clinical and economic impacts of those interventions. We
expect to be providing services to improve the quality and
cost-effectiveness of health care delivered to 50 million Americans by
2011.
DUTIES AND
RESPONSIBILITIES:
-Design and perform analyses of the clinical and economic impacts
of various quality improvement and cost reduction
interventions on the care provided to groups of patients
-Design and perform analyses of factors associated with
the effectiveness of quality improvement and cost reduction
interventions
-Design and perform analyses of patient characteristics that
are associated with particular health outcomes or are
predictive of future use of particular health care services
-Assess the sensitivity specificity and predictive accuracy of
particular RHI algorithms
-Develop algorithms that can be used in efforts to assure accuracy of
analytic results
-Perform other analytical project work or special projects as assigned
by supervisor
QUALIFICATIONS:
-Advanced statistical software programming experience (e.g. STATA or
SAS) analyzing large administrative claims databases (e.g.
over 5
million records)
-Experience with MS SQL Server or any other relational databases
-Familiarity with administrative claims data and standard
medical/pharmacy coding schemes (e.g. ICD-9 HCPCS and CPT-4)
-Competency with Microsoft office application and Access
-Strong written and verbal communication skills
-Demonstrated problem solving and organizational skills with strong
attention to detail
-Ability to manage multiple diverse projects in a fast-paced
environment with tight deadlines
Position
Qualifications:
Masters in public health epidemiology or biostatistics or other
quantitative field (e.g actuarial sciences)
At least 2 years of analytical experience in outcomes research design
epidemiology and multivariate
statistical analysis preferably in a managed care setting
Salary
Range: Competitive
Benefits:
Among the best
in industry
Web
Site:
www.resolutionhealth.com
Application
Address:
Shantanu Phatakwala
Contact
Email: recruiting@resolutionhealth.com
Application
Deadline:
03/31/2010
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