AbleTo, Inc. is a market leader in providing technology-enabled behavioral health care. AbleTo has been treating patients for over six years, and improves patient outcomes and lowers costs by providing treatment that integrates behavioral and medical health care. AbleTo's structured therapy programs strengthen medical recovery and self-care among members with chronic or complex clinical needs. AbleTo analytics, coupled with our multi-channel engagement platform, identify and engage members with unmet, often undiagnosed, behavioral health needs. A proprietary platform connects individuals and their care teams with AbleTo licensed providers who deliver weekly sessions by phone or video supported by an integrated digital experience. AbleTo programs are clinically proven to improve both behavioral health and medical outcomes while lowering overall spending for higher-cost, higher-risk members. AbleTo's investors include .406 Ventures, Sandbox Industries, HLM Venture Partners, Horizon Healthcare Services, Inc., Bain Capital Ventures, Aetna Ventures, and Optum Ventures.
The Director of Advanced Analytics at AbleTo will bring significant healthcare data analytics experience in evaluating and measuring the impact of AbleTo's programs on members in terms clinical outcomes and medical costs. The Director role will be client facing as well as closely with internal stakeholders in enhancing reporting on program performance by client, line of business and by product. They will also work with the sales team to enhance opportunity/savings analyses for potential customers. The Director will also work to enhance Ableto's analytics capabilities in analyzing health care claims data and creating enrichment layers to include episode groupers, risk scoring models, and other tools. The Director will also identify other sources of data such as socio-economic and social determinants of health and consumer data which will generate insights into which members will benefit from AbleTo's program. The Director will provide significant input and support for the development of internal data mart as well as other analytic tools to enhance and improve the efficiency of current analytics and reporting.
The Director will provide the technical leadership and mentorship for the Data Analytics team, ensuring sound methodologies and best practices are employed by the team for client reporting and analytics as well as for effective decision making and strategy development by senior leadership. They will also partner with department owners to identify and prioritize opportunities to inject analytics and use of data to improve performance. This role will significantly contribute to the company's growth in the critical core competency of Data Science.
Bring healthcare analytics leadership to drive engagement and treatment outcomes in various populations such as commercially insured, Medicare Advantage, Medicaid, etc.
Lead data analytics serve as SME on analytic methods such as episode groupers, risk scoring models, relative resource values (RRVs), etc..
Lead team approach to optimize use of medical claims and pharmacy data
Work with the data science team to leverage new tools and healthcare analytics to augment identification and stratification models
Proactively identify new ways to use data or ways to augment data to improve effectiveness and efficiency
Collaborate with the data science team to identify and integrate other data sources to improve models
Work with clinical leaders to enhance outcomes reporting
Implement best practices in data management, quality control processes, and maintaining code/documentation repositories
Prioritize and communicate Data Analytic projects based on Company objectives across multiple stakeholders
Own, present and explain findings to various stakeholders across the company, and developing the team to do so as well
Collaborate cross-functionally with our Research team, Engagement team, Clinical team, Product teams to optimize our use of data and analytics to develop business insights
Works with internal customers to define business problems and proposes analytic research or solutions to solve or address those needs
In partnership with the Director of Business Intelligence, Lead the enhancement of AbleTo's reporting and analytics capabilities to create a scalable and efficiency analytics platform.
Provide leadership and professional guidance to the Data Analytics team member with focus on enhancing the health care expertise of team members
Drive the continuous improvement of team's capabilities & tools
Ensure the transmission and sufficiency of the team's technical knowledge by mentoring new members of the team
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
BS & Masters Degrees in advanced statistics, informatics, biostatistics, or related field
5+ years of professional experience in healthcare analytics
Experience in Healthcare industry required (Payer claims data, health outcomes)
Proficiency in SAS, R or other statistical packages
Experience with episode groupers, risk scoring models, social determinants of health, etc.
Deep technical experience in health care and analysis of healthcare data such as claims data
Experience presenting complex technical issues to non technical audiences
Project management large and complex projects
Actuarial methods and approaches
AbleTo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. AbleTo is an E-Verify company.
Upon the acceptance of an offer to enter into this agreement, AbleTo requires the satisfactory completion of reference and background checks and successful completion of drug testing in accordance with local, state and federal laws.