Overview

Why we’re excited to get to work:

The mission for Payformance Solutions is simple. We aim to be a catalyst for payment transformation in the healthcare industry. Our proprietary software solutions allow payers and providers to focus on what really matters: providing patients with access to care that yields the best health outcomes, at the lowest costs.

The healthcare industry is complex and fragmented. Payers and providers are faced with a lack of transparency and conflicting financial goals that fail to consider the health outcomes of patients. Payformance Solutions offers data-driven, turnkey software solutions that provide payers and providers with the technical tools and resources needed to design, evaluate, build, measure, and negotiate value-based reimbursement contracts — as a neutral third party. Our holistic solutions allow payers and providers to collaborate in an ecosystem that aligns financial goals with patient outcomes.

Responsibilities

What we are looking for:

• Our team needs a hands-on director of analytics who can work with healthcare claims data to generate insights to help solve complex healthcare transformations facing payers and providers. If you have a background in healthcare, specifically payer/provider contracting, a desire to work on some of the most significant and challenging initiatives facing the industry, and love to push the boundaries to solve complex business problems innovatively, then we want to talk with you. As the leader of analytics at Payformance Solutions, you will have the opportunity to make mission critical contributions. You’ll have a voice in driving the direction and strategy of the company, and work in an agile environment alongside a rapidly growing team of Engineers, Data Architects, Analysts, and Health Policy Experts in our Chicago, IL office.
• Position is based in Chicago

What you’ll do:

• Analyze and model structured data, implementing algorithms to support data analysis using advanced mathematical methods from statistics, data mining, econometrics, and operations research
• Perform exploratory data analysis, generate and test working hypotheses, and uncover interesting trends and relationships
• Supporting senior staff and project teams to analyze healthcare claims data, develop comparative rate and reimbursement analysis, cost analysis and financial impact calculations, and national or regional market studies dusing statistical software.
• Presenting insights and findings to senior leadership, external clients, and industry experts as required, through the use of graphs, tables, and other strategic information to summarize analyses and results.
• Analyze and document business processes, workflows and use cases for alternative payment models (e.g., value-based)
• Work with technical staff to translate business requirements into functional requirements and specifications
• Plan and facilitate functional design sessions
• Develop testing, validation and implementation plans and processes
• Create and maintain system design and operational procedure documentation
• Provide guidance and feedback to more junior team members
• Contributing to an innovative and team-oriented work environment with individual accountability and ownership to the success of the company

Qualifications

What you’ll bring to the table:

• Masters or PhD degree in relevant disciplines: Bioinformatics, Medical Informatics, Healthcare Administration, Statistics, Applied Mathematics, Operations Research/ Optimization, Computer Science, Computational/ Theoretical Physics, Data Science, or Electrical/ Computer Engineering.
• Ability to recognize payment trends and methodologies, in addition to identifying the big picture perspective within payer and provider environments.
• Experience working with healthcare claim codes (e.g., ICD9, ICD10, HCPCS, CPT)Deep experience in extracting, cleaning, preparing and modeling data
• Proficient in the big data ecosystem such Hadoop, Spark, and Storm and programming languages (e.g. Python, Ruby, Java, Scala)
• Experience supporting big data analytics projects, developing and documenting methodologies, validating results, coordinating efforts to meet deadlines for deliverables, and completing quality assurance checks.
• Capability to succeed in a dynamic environment and produce multiple deliverables within tight timeframes.
• Willingness to effectively build relationships throughout the organization and communicate with team members virtually and in-person.
• Proven ability to interact directly with clients and effectively understand needs while managing expectations
• Proven ability to effectively communicate with both technical and non-technical team members
• Proven ability to effectively work both independently and within a team
• Previous experience leading a team

How we’ll support you:

In addition to the meaningful and challenging work, Payformance’s dynamic work environment emphasizes integrity, personal commitment, and teamwork. We offer an outstanding benefits program that includes:

• A competitive annual salary
• 100% employer-paid medical option (employee, spouse, family)
• 100% employer-paid life insurance policy
• 100% employer-paid short-term and long-term disability insurance
• 401k Retirement Plan (5% employer contribution)
• Healthy work/life balance… Our flexible office hours and time-off allows you to make the most of your time in and out of the office to fit your needs. Plus, an optional work-from-home day once a week (after 3 months)
• Paid maternity leave
• Tuition reimbursement
• Annual personal learning budget (books, conferences, etc.)
• Thirsty Thursday team building events
• Free gym Access
• Awesome coworkers
• Work with a highly collaborative and values-driven team

Not to boast, but a little bit about us:

Payformance Solutions is a health-tech company dedicated to advancing payment transformation in the healthcare industry. We are a wholly owned subsidiary of Altarum Institute, a nonprofit systems research and consulting organization that has been servicing government and private sector clients since 1946.

Altarum Institute combines the analytical rigor of a research institution with the business agility of a consulting firm, the Institute is uniquely positioned to deliver practical, systems-based health and healthcare solutions to its clients. Altarum’s nonprofit status ensures that the public interest is always preeminent in our work. Our dedication to social responsibility is evident in all that we do, serving the public good with integrity and enabling others to do the same. Altarum develops and promote best practices in the application of information technology to health and health care. Applying systems research principles and analytic objectivity, we work to increase access to health information; improve the organization and usability of health information; and develop new knowledge from health information. We work to achieve these goals by addressing all aspects of information technology —policy and planning efforts, system design and development, information exchange, and the management and evaluation of specific information technology and strategies.

At Payformance, we don’t just accept difference - we celebrate, support, and thrive on it for the benefit of our employees, our clients, and our community. Payformance Solutions is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, status as a protected veteran, or disability.

To all recruitment agencies: Payformance does not accept agency resumes, we are not responsible for any fees related to unsolicited resumes.