FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in monitoring CMS/CMMI alternative payment models, utilizing Medicare claims and participant-reported data to develop actionable insights. Proficient in leading teams, managing projects, and delivering high-quality reports and recommendations for federal audiences.
Highest-signal resume keywords
Ph.D. In Economics, Health Services Research, Health Policy, Or Public HealthHands-On Experience Monitoring CMS/CMMI Alternative Payment ModelsExperience With Medicare And/or Medicaid Administrative And Claims DataProficiency In SAS, R, Python, Or SQLProposal-Writing Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Monitoring Framework DesignData AnalysisQuality Measurement MethodsRisk AdjustmentFinancial IncentivesBenchmarkingValue-Based Care MechanicsClear And Concise WritingProject ManagementMentoring
Soft Skills
LeadershipCollaborationCommunicationClient EngagementTeam Coordination
Tools & Technologies
DatabricksPower BITableauCommence PlatformAutomated Reporting
Certifications & Qualifications
CMS-Required Background Investigation
Industry Keywords
CMSCMMIAlternative Payment ModelsMedicareMedicaidValue-Based CareHealth PolicyPublic HealthHealth Services ResearchRisk Selection
Tech Stack
Tools & technologiesCloudPythonSQLTableau
About the role
Key responsibilities & impact- Lead the design and execution of monitoring for CMS/CMMI alternative payment models
- Translate model design documents and participation agreements into monitoring specifications using Medicare claims, enrollment, and participant-reported data
- Design monitoring frameworks covering logic models, measures, data sources, benchmarks, analytic methods, and reporting
- Detect and investigate unintended consequences such as risk selection, coding intensity, care stinting, and shifts in referral or site-of-care patterns
- Partner with data scientists and engineers to build dashboards, automated reporting, ML-based anomaly detection, and early-warning signals on the Commence platform
- Lead monitoring reports, briefings, and risk summaries for CMMI model teams
- Turn findings into clear, actionable recommendations
- Lead technical approaches for CMS/CMMI and other federal agency proposals and serve in key project roles
- Lead monitoring methods for quality measurement and payment incentive work for CMS and state partners
- Mentor junior researchers and analysts
- Manage teams, set priorities, coordinate tasks, engage clients and stakeholders, and ensure high-quality products are delivered on time and within budget
Requirements
What you’ll need- Ph.D. in economics, health services research, health policy, public health, or a related field with 9+ years of relevant experience; or a Master’s degree with 13+ years
- Hands-on experience monitoring CMS/CMMI alternative payment models
- Working knowledge of APM and value-based care mechanics: beneficiary attribution, quality scoring, capitated payments, bundled payments, financial incentives, benchmarking, risk adjustment
- Experience with Medicare and/or Medicaid administrative and claims data (e.g., CCW, IDR, VRDC)
- Clear and concise writing for federal audiences
- Proposal-writing experience
- Experience leading major tasks or projects and managing and mentoring staff
- Must be authorized to work in the U.S.
- Able to obtain and maintain a CMS-required background investigation (public trust)
- Preferred: Experience with Databricks or other cloud analytics platforms and with Power BI, Tableau, or similar
- Preferred: Proficiency in SAS, R, Python, or SQL
- Ability to sit, read, work on a computer, and watch a computer screen for extended periods
- Occasionally able to stand, walk, use hands and fingers, kneel or crouch
Benefits
Comp & perks- Remote position
- Occasional travel to the Baltimore/Washington, DC area for client
- Reasonable accommodations for individuals with disabilities
- Equal employment opportunity and nondiscrimination
- Extended hours may be needed around proposal deadlines and key deliverables