Healthcare Quality and Claims Analyst
Key Role:
Support projects across the health quality and measurement enterprise, including health quality measure strategy and policy, measure maintenance and evaluation, and quality program implementation and management. Support proposal development and other marketing efforts as the firm continues to build its quality measurement business across Federal agencies. Provide substantive knowledge of care delivery models, including patient-centered medical homes, organization structures, accountable care organizations, or integrated delivery models that influence the delivery of high-quality care such as care transitions, patient compliance, and enablers, including health IT.
Basic Qualifications:
- 5+ years of experience performing data management with health data in SAS
- Experience with state and federal healthcare initiatives and policies
- Experience working with the Centers for Medicare and Medicaid Services (CMS)
- Experience analyzing Medicare claims data in SAS and to calculate claims-based quality measures such as the Total Per Capita Cost (TPCC) and Emergency Department Utilization (EDU) measures
- Experience with health care delivery and organization, and the challenges to high-quality health care delivery
- Experience with consulting or client delivery
- Ability to analyze and convey complex topics and recommendations succinctly via written briefings, papers, and verbal communications
- Ability to design research approaches, conduct research, synthesize information, and present findings and recommendations
- Ability to assist with business development and proposal writing, and work in a team-based environment
- Master's degree and 3+ years of experience working in a professional environment, or Bachelor’s degree and 5+ years of experience working in a professional environment
Additional Qualifications:
- Experience with SQL, Python, or R
- Experience working in CMS data systems such as the Chronic Conditions Warehouse (CCW) and Integrated Data Repository (IDR), to calculate claims-based quality measures
- Experience with consulting or client delivery
- Knowledge of Centers for Medicare and Medicaid Innovation (CMMI) care models
- Ability to manage tasks and projects, organize tasks logically, and manage others to accomplish tasks
- Ability to successfully work both individually and in collaboration with others
- Possession of excellent verbal and written communication skills
Create Your Career:
Grow With Us
Your growth matters to us—that’s why we offer a variety of ways for you to develop your career. With professional and leadership development opportunities like upskilling programs, tuition reimbursement, mentoring, and firm-sponsored networking, you can chart a unique and fulfilling career path on your own terms.
A Place Where You Belong
Diverse perspectives cultivate collective ingenuity. Booz Allen’s culture of respect, equity, and opportunity means that, here, you are free to bring your whole self to work. With an array of business resource groups and other opportunities for connection, you’ll build your community in no time.
Support Your Well-Being
Our comprehensive benefits package includes wellness programs with HSA contributions, paid holidays, paid parental leave, a generous 401(k) match, and more. With these benefits, plus the option for flexible schedules and remote and hybrid locations, we’ll support you as you pursue a balanced, fulfilling life—at work and at home.
Your Candidate Journey
At Booz Allen, we know our people are what propel us forward, and we value relationships most of all. Here, we’ve compiled a list of resources so you’ll know what to expect as we forge a connection with you during your journey as a candidate with us.
Compensation
At Booz Allen, we celebrate your contributions, provide you with opportunities and choices, and support your total well-being. Our offerings include health, life, disability, financial, and retirement benefits, as well as paid leave, professional development, tuition assistance, work-life programs, and dependent care. Our recognition awards program acknowledges employees for exceptional performance and superior demonstration of our values. Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible to participate in Booz Allen’s benefit programs. Individuals that do not meet the threshold are only eligible for select offerings, not inclusive of health benefits. We encourage you to learn more about our total benefits by visiting the Resource page on our Careers site and reviewing Our Employee Benefits page.
Salary at Booz Allen is determined by various factors, including but not limited to location, the individual’s particular combination of education, knowledge, skills, competencies, and experience, as well as contract-specific affordability and organizational requirements. The projected compensation range for this position is $73,100.00 to $166,000.00 (annualized USD). The estimate displayed represents the typical salary range for this position and is just one component of Booz Allen’s total compensation package for employees. This posting will close within 90 days from the Posting Date.
Work Model
Our people-first culture prioritizes the benefits of flexibility and collaboration, whether that happens in person or remotely.
- If this position is listed as remote or hybrid, you’ll periodically work from a Booz Allen or client site facility.
- If this position is listed as onsite, you’ll work with colleagues and clients in person, as needed for the specific role.
EEO Commitment
We’re an equal employment opportunity/affirmative action employer that empowers our people to fearlessly drive change – no matter their race, color, ethnicity, religion, sex (including pregnancy, childbirth, lactation, or related medical conditions), national origin, ancestry, age, marital status, sexual orientation, gender identity and expression, disability, veteran status, military or uniformed service member status, genetic information, or any other status protected by applicable federal, state, local, or international law.
