DescriptionAt Commence, we're the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient processes to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data.
We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.Key ResponsibilitiesDesign and execute statistical analyses supporting program reporting, quality assurance, and performance measurementDevelop and maintain analytical models to assess IDR case trends, payment patterns, and dispute resolution outcomesProduce statistical summaries, dashboards, and data visualizations for CMS program stakeholdersEnsure data quality and integrity across program data systems; identify anomalies and reporting inconsistenciesSupport development of CMS-required performance metrics and program evaluation reportsApply sampling methodologies, regression analysis, and predictive modeling as appropriateCollaborate with IT/data engineering teams to access and process large-scale claims and case management dataRespond to ad hoc analytical requests from CMS leadership and policy teamsMinimum QualificationsMaster's degree or Ph.D. in Statistics, Biostatistics, Epidemiology, Mathematics, Health Services Research, or a closely related quantitative field3+ years (Master's) or 1+ year (Ph.D.) of applied statistical analysis in a federal health program or healthcare settingProficiency in statistical software: R, SAS, STATA, or Python (pandas, scipy, statsmodels)Experience with large administrative datasets (claims data, case management data, or similar)Strong foundation in descriptive statistics, regression modeling, hypothesis testing, and sampling methodologyDemonstrated ability to communicate statistical findings clearly to non-technical audiences in written reports and presentationsMust be eligible for CMS Public Trust (MBI) clearancePreferred QualificationsDirect experience with CMS data systems (CCW, IDR portal data, MAX/T-MSIS, or similar)Familiarity with health insurance claims data, provider billing, or out-of-network payment analyticsExperience with federal program evaluation, GAO audit support, or OIG data analysisBackground in dispute resolution data analysis, legal analytics, or regulatory compliance metricsExperience with data visualization tools (Tableau, Power BI)Knowledge of No Surprises Act or surprise billing policy analyticsCommence's headquarters are in Virginia Beach, VA, however we are open to remote candidates in the following states: AZ, AR, DE, FL, GA, IL, IN, KS, KY, MA, MD, MI, MS, MO, MT, NC, NE, NV, NY, OH, OK, PA, SC, TN, TX, VA, DC, WI, and WV*Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities.
If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting accommodation, all applications must be submitted through our online application system.J-18808-Ljbffr