Vida

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Senior Health Economics Lead

Operations | San Francisco, CA | Full Time

Job Description

At Vida, our mission is to eradicate chronic disease and transform people’s lives through improved health. There is huge potential to make an impact: 1 in 3 people in the U.S. has a chronic health condition, while 1 in 4 struggles with mental illness. Chronic conditions also represent a huge market opportunity at ~80% of our nation’s $3T in annual healthcare spend.

Vida is transforming healthcare through digital therapeutic programs and one-on-one health coaching and therapy to help individuals prevent, manage, and overcome chronic conditions. We apply data science and a human touch to drive a highly personalized experience through our easy-to-use mobile app. Our unique approach drives high user engagement, behavior change, and proven clinical outcomes. 

Vida serves employees/members of Fortune 500 companies, large national payers, and leading health systems. We have both a B2C and B2B revenue model. 

This position will lead health claims related analysis for Vida Health, leveraging payer claim data to drive effective marketing and enrollment strategies, shape/drive clinical interventions based on population trends, and monitor cost outcomes.  

Responsibilities:

  • Establish infrastructure and needed processes to ingest and manage claims data exchange from multiple payers
  • Establish procedures to assess quality of incoming data, including completeness and accuracy, and work with account teams to resolve discrepancies
  • Establish appropriate data security and compliance processes for ingesting claims on a regular basis
  • Design, develop, and implement analyses that support target marketing and enrollment including member condition sets and medical service utilization patterns 
  • Design, develop, and implement quantitative analyses on drivers of health care cost and utilization, leveraging health care claims and other sources of data 
  • Lead approach for evaluating overall health economics and program evaluation
  • Work collaboratively with existing analysts and provide needed guidance and subject matter expertise on health claims related analyses 
  • Work cross functionally with customer success and clinical teams to establish repeatable client facing reports leveraging claims data
  • Support research team needs on integrating claims data needs with existing processes
  • Support client-facing meetings on claims data needs repeatable analyses that

Qualifications:

  • Minimum 5 years experience and knowledge of healthcare data and analytics
  • Knowledge of, and experience with, healthcare claims data and all related nomenclatures; demonstrated experience working with claims data
  • Solid understanding of Medical Claims, Rx Claims, Clinical Data, Eligibility, Provider Data and related processes
  • Experience with clinical coding systems: ICD9/10 diagnosis codes, ICD9/10 procedure codes, CPT codes, revenue codes, provider NPI codes, NDC Rx codes
  • Strong SQL and/or SAS programming experience, or similar tools.  
  • Experience leading and implementing leveraging Tableau, and/or other tools for data visualization
  • Proficiency with basic statistics and management reporting
  • Bonus points for:
    • Some clinical background or background leveraging analytics for clinical, population health initiatives

    • Experience with end-to-end implementation of healthcare claims reduction initiatives   

Benefits & Perks

  • Competitive compensation including stock options
  • A health-oriented office culture including walking 1:1s, healthy food & snacks, fitness challenges, and weekly team runs
  • Health, Vision, Dental Benefits
  • Flexible vacation time
  • FSA and Commuter benefits
  • 401K (no company match at this time)


MORE ABOUT VIDA HEALTH:  Vida provides expert, personalized, on-demand health coaching and programs from a network of experienced health care providers and leading medical institutions. Vida is a next generation continuous care platform for both consumers and businesses, combining a consumer mobile app, an enterprise care platform offering on demand 24/7 solutions for chronic conditions. Vida platform runs in the cloud, captures real-time data from 100+ devices and apps, and integrates back to the employer, payer, and provider.