Healthcare Claims Researcher

Estimates suggest that low-value healthcare leads to almost $100 billion in waste annually. Low-value care directly harms patients financially but can also have non-economic implications for them. Physicians drive this spending. Garner Health has built a business around identifying physicians who provide high-quality, high-value care.

You will be essential in helping develop and maintain Garner’s proprietary claims-based physician performance measures. You will help review academic clinical literature and work with clinical experts to understand high-quality, high-value care across a variety of specialties and identify exceptional clinicians. You will also help develop methods to statistically study these metrics, so we can prove their validity to ourselves and others. Additionally, you will be responsible for writing white papers for clients that describe the clinical reasoning and research supporting these metrics. 

Responsibilities will Include:

• Conduct literature reviews to help develop and refine metrics for a range of medical conditions and procedures
• Create and validate measures using proprietary technical and statistical tools 
• Maintain a library of documentation for internal and external stakeholders
• Work closely with clinical experts 
• Collaborate with product, data science, and engineering teams to support new product development, figuring out creative ways to use the metrics we have developed to save the US healthcare system money and help improve quality of care for patients   

The Ideal Candidate Has:

• Minimum 1 year working with health insurance claims data or electronic health record (EHR) data
• Working knowledge of how to utilize ICD and CPT codes, as well as their limitations 
• Bachelor’s degree required. Masters degree or above in public health, biostatistics, epidemiology, or related fields preferred  
• Strong biostatistics and epidemiological background required
• Basic coding experience (SQL, Python, Stata, R, or SAS) required 
• Strong interest in healthcare and clinical best practices research
• An aptitude to learn new technologies and tools quickly 
• Strong written and verbal communication skills
• Ability to work independently
• A desire to work in a rapidly evolving startup environment, and be a part of our mission to improve the value and quality of the US healthcare system
  
  The target salary range for this position is $100,000-$115,000. Individual compensation for this role will depend on a variety of factors including qualifications, skills and applicable laws. In addition to base compensation this role is eligible to participate in our equity incentive and competitive benefits plans.