EDQ Data Team Lead - Research Scientist 3

Location: St. Paul
Telework eligible: Yes (applicants must reside in Minnesota or a bordering state within 50 miles of the primary work location)
Full-time, unlimited (permanent) position

About the role

This position serves as team lead for the Health Care Administration (HCA) interdivisional data team, providing expert direction, technical guidance, and training/mentoring to analytical staff on divisional and interdivisional data analysis projects. These projects focus on performance measurement, diagnostic-based risk adjustment, and utilization analysis necessary for the management of health care programs.

Responsibilities

• Directs analytical efforts in support of agency program integrity related to Medicaid, including identifying data anomalies, utilization patterns, or payment discrepancies that may indicate fraud, waste, or abuse. Applies analytical expertise to inform program integrity reviews and corrective actions.
• Leads data-related efforts for Managed Care organization compliance, including directing the analysis, validation, and reporting of encounter data to monitor and ensure adherence to state and federal contractual, regulatory, and reporting requirements.
• Leads the analysis of health care data to estimate the need for health care services, evaluate and improve payment methodologies, estimate the impact of changes in delivery and payment systems, and measure health care outcomes. This includes planning and designing research studies, developing methods and procedures for data analysis projects, and managing the required databases.
• Interprets data and study results to inform management on potential policy and program changes. Executes highly technical analyses to support management decisions and strategic planning for program outcomes and cost containment.
• Provides technical direction and consultation to management and staff on the above activities. Represents the department on planning teams responsible for the collection and dissemination of related information.

Requirements

• Three (3) years of advanced professional research experience in health or social sciences demonstrating the following:
  • Experience with statistical analysis software such as SAS and/or SQL.
  • Data analysis, data qualification, data transformation and interpretation, and modeling, including multiple regression techniques.
  • Project management, report writing, and oral presentation of analysis and research results.
  • Computer skills sufficient to construct tables and graphs displaying data/results to facilitate data analysis or to visually report data using statistical analyses, database reports, and presentation software.
  • Demonstrated familiarity with health care data such as medical claims, public health data, electronic medical records, disease registries, or vital statistics data.

Preferred Qualifications

• Master’s or doctoral degree in health science, social science, or related discipline.
• Experience with:
  • Health services research methods or health care policy.
  • Large data systems stored in complex SQL-based data tables in networked warehouse systems.
  • Health care HIPAA claims data interchange standards, such as ANSI X12 EDI.
• Knowledge of Minnesota public health care programs, including coverage policy and purchasing strategies.
• Experience in leading staff and teams, training and coaching staff, engaging in process improvement work, performing project management, and managing relationships with customers.
• Ability to work effectively with staff at all levels within and outside the organization, with excellent verbal and written communication skills.
• Experience working effectively with others from different backgrounds and cultures.

Pay

$37.91 - $56.39 hourly; $79,156 - $117,742 annually

Schedule

Day shift: 8:00 AM - 4:30 PM, Monday - Friday

Benefits

• Paid vacation and sick leave.
• 12 paid holidays each year.
• Low-cost medical, dental, vision, and prescription drug plans.
• Fertility care, including IVF.
• Diabetes care.
• Dental and orthodontic care for adults and children.
• 6 weeks paid leave for parents of newborn or newly adopted children.
• Pension plan that provides income after retirement (after working at least three years).
• Employer-paid life insurance to support your family in the event of death.
• Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury.
• Tax-free expense accounts for health, dental, and dependent care.
• Resources that provide support and promote physical, emotional, social, and financial well-being.
• Support to help you reach your career goals:
  • Training, classes, and professional development.
  • Tuition reimbursement.
  • Federal Public Service Loan Forgiveness Program (some positions may qualify).
• Employee Assistance Program (EAP) for work/life support, including:
  • Mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues.
  • Daily living/convenience services: chore services, home repair, trip planning, child/elder care.

Benefits eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota.