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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, developing performance metrics, and translating complex data into actionable insights. Proficient in utilizing advanced analytics tools and methodologies to inform decision-making and enhance federal health research outcomes.
Highest-signal resume keywords
Ph.D. In Economics, Health Services Research, Health Policy, Or Public HealthMonitoring CMS/CMMI Alternative Payment ModelsExperience With Medicare And/or Medicaid Administrative DataProficiency In SAS, R, Python, Or SQLExperience With Power BI, Tableau, Or Similar
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 FrameworksPerformance Metrics DevelopmentData Collection PlansRisk ReportsAnalytic MethodsProposal WritingQuality MeasurementFinancial IncentivesRisk AdjustmentData Analysis
Soft Skills
Clear And Concise WritingMentoringTeam ManagementClient EngagementStakeholder Coordination
Tools & Technologies
DatabricksPower BITableauCMS Required Background InvestigationCommence Platform
Certifications & Qualifications
Authorized To Work In The U.S.CMS-Required Background Investigation
Industry Keywords
CMMIAlternative Payment ModelsValue-Based CareBeneficiary AttributionQuality ScoringCapitated PaymentsBundled PaymentsBenchmarkingRisk SelectionCoding Intensity
Tech Stack
Tools & technologiesCloudPythonSQLTableau
About the role
Key responsibilities & impact- Generate actionable insights informing CMS Innovation Center (CMMI) decision-making and Commence’s growth in federal health research
- Design and execute monitoring for CMS/CMMI alternative payment models
- Develop monitoring frameworks, performance metrics, data collection plans, dashboards, and risk reports
- Translate model design documents and participation agreements into monitoring specifications using Medicare claims, enrollment, and participant-reported data
- Design CMMI model monitoring frameworks, including 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
- Write monitoring reports, briefings, and risk summaries for CMMI model teams
- Turn findings into clear, actionable recommendations
- Design and write technical approaches for CMS/CMMI and other federal agency proposals
- Serve in key project roles
- Apply monitoring methods to quality measurement and performance-reporting 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 reports and 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 4+ years of relevant experience; or a Master’s degree with 8+ 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
- Must be authorized to work in the U.S.
- Able to obtain and maintain a CMS-required background investigation (public trust)
- Experience with Databricks or other cloud analytics platforms
- Experience with Power BI, Tableau, or similar
- 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 work
- Occasional travel to the Baltimore/Washington, DC area for client meetings, orals, and team events
- Reasonable accommodations for individuals with disabilities
- Equal employment opportunities
- Extended hours may be needed around proposal deadlines and key deliverables