Job Description

Coginlo Health is helping build the healthcare system we all want to experience by transforming the home into the healthcare hub. We coordinate care holistically across individuals’ clinical, social, and behavioral needs so they can enjoy more healthy days at home. By building strong connections to primary care providers and community resources, we’re able to close critical care and social gaps, as well as manage risk for individuals who need help the most. This leads to better outcomes and a better experience for everyone involved.

Our high-performance networks are powered by more than 9,000 mobile doctors and nurses covering every county in the U.S.and across globe, 3,500 healthcare providers and facilities in value-based arrangements, and hundreds of community-based organizations. Coginlo's intelligent technology and decision-support services enable these resources to radically simplify care coordination for more than 1.5 million individuals each year while helping payers and providers more effectively implement value-based care programs.

To learn more about how we’re driving outcomes and making healthcare work better, please visit us at www.coginlo.com

How will this role have an impact?

Shared Savings Analytics oversees the reconciliation and gainsharing components of our episodes of care programs. Reconciliation helps to ensure the operational and financial accuracy of these programs. It is through the reconciliation process that we ensure that program rules are applied to claims data correctly and that financial calculations are done in accordance with contractual agreements between Coginlo Health and its partners (both payers and providers). Reconciliation supports the financial analytics of our organization that produces financial statements off of which payments and invoicing are based, as well as the calculation of gainsharing payments with our partners and downstream program participants.

Shared Savings Analytics has worked to automate many of the aspects of reconciliation and gainsharing for our existing programs and has a need to scale this automation to meet the demands of our growing business.

This role will work interdepartmentally to ensure that all business requirements for our programs are encapsulated in technical requirements. Additionally, the individual will develop the technical infrastructure to support the financial analytics and audit operations of our business.

This role will report into our Senior Manager, Shared Savings Analytics.

What will you do?

Translation of contract terms and other business requirements into technical requirements for Python programs used to create source data for financial statements and reports.
Development and maintenance of the data infrastructure that supports our financial analytics capabilities
QA of programmatic output of claims files for episodes of care
Claims analysis for the calculation of value-based payments to physicians and other providers involved in the episodes of care programs
Assist in the development of metrics to be applied to the financial analytics source data in order to deliver added insights and drive business decisions
Preparation of external communication to health systems and individual providers in the form of narratives explaining results, and drivers of outcomes for financial performance in episodes of care, gainsharing, and other value-based payment programs.

We are looking for someone with:

Bachelor’s degree, preferably in a healthcare or an analytic field
0-3 years of experience using programming languages (i.e. Python, Java) and BI tools (i.e. Tableau/ SPSS Modeler)
Working knowledge with SQL
Backend development knowledge with database development and/or ETL processes
Results-oriented mindset coupled with the ability to work both collaboratively and autonomously
Ability to convey technical information to a non-technical audience in an engaging manner
Knowledge in analyzing healthcare claims data or experience automating financial planning & analysis workflows in a healthcare environment is preferred