MSSP Healthcare Data Specialist

1 day ago

Karachi, Sindh, Pakistan MacCare Full time 900,000 - 1,200,000 per year

Job Summary

We are seeking a highly skilled and knowledgeable MSSP (Medicare Shared Savings Program) Specialist to support our Value-Based Care (VBC) initiatives. The ideal candidate will have strong expertise in CMS programs, risk adjustment, quality reporting, and care coordination. This role will collaborate closely with clinical, operational, and analytical teams to ensure compliance, maximize program performance, and improve patient outcomes under MSSP and related value-based care models.

Key Responsibilities

MSSP & VBC Program Knowledge

  • Understand and support various service lines within Value-Based Care (VBC).
  • Demonstrate strong knowledge of CMS programs such as 
    RPM (Remote Patient Monitoring), CCM (Chronic Care Management), and TCM (Transitional Care Management).
  • Monitor and evaluate the implementation of these programs to ensure alignment with organizational goals.

Risk Adjustment

  • Apply knowledge of 
    HCC (Hierarchical Condition Category)
     risk scoring methodology.
  • Collaborate with clinical and coding teams to ensure accurate documentation and coding that reflects patient risk profiles.
  • Support strategies for risk score optimization while ensuring compliance with CMS regulations.

Quality & Compliance

  • Interpret CMS quality measures, benchmarks, and reporting requirements.
  • Track and monitor quality measures across patient populations and service lines.
  • Assist with the preparation and submission of CMS quality reporting programs.
  • Maintain compliance with CMS regulations, program updates, and audit requirements.

Cross-Functional Support

  • Collaborate with care coordination teams to identify high-risk patients and implement effective interventions.
  • Support clinical operations in driving improved patient outcomes and satisfaction.
  • Partner with IT/data teams to ensure accurate integration and use of MSSP data sources.

Required Qualifications

  • Bachelor's degree in 
    Computer Science, Public Health, Nursing, or a related field
     (Master's preferred).
  • 3+ years of experience in 
    Value-Based Care, MSSP, ACO, or CMS-related programs.
  • Strong understanding of CMS regulations, VBC service lines, and MSSP program requirements.
  • Hands-on experience with 
    CCLF data, HCC risk adjustment, and quality reporting.
  • Knowledge of population health management tools, care coordination workflows, and performance improvement methodologies.
  • Strong analytical skills with the ability to interpret complex datasets and provide actionable insights.
  • Excellent communication and collaboration skills for working with clinical, operational, and executive stakeholders.

Preferred Skills

  • Familiarity with 
    EMR/EHR systems
     and healthcare data platforms.
  • Experience with reporting and visualization tools (e.g., 
    Power BI, Tableau, SQL
    ).
  • Strong project management and organizational skills.
  • Ability to stay updated on evolving 
    CMS regulations and guidelines.

  • Healthcare Data Specialist

    5 days ago

    Karachi, Sindh, Pakistan Mac Care Full time 900,000 - 1,200,000 per year

    Job SummaryWe're hiring a Healthcare Data Specialist with strong expertise in data analytics to support our Value-Based Care (VBC) and MSSP initiatives. The role focuses on transforming healthcare data into actionable insights that improve performance, compliance, and patient outcomes.Key Responsibilities:Analyze and manage CCLF, HCC, and quality data for...

  • Healthcare Data Specialist

    2 weeks ago

    Karachi, Sindh, Pakistan IntraCare Full time 900,000 - 1,200,000 per year

    Job SummaryWe are seeking a highly skilled and knowledgeable MSSP (Medicare Shared Savings Program) Specialist to support our Value-Based Care (VBC) initiatives. The ideal candidate will have strong expertise in CMS programs, risk adjustment, quality reporting, and care coordination. This role will collaborate closely with clinical, operational, and...

  • MSSP (Medicare Shared Savings Program) Specialist

    3 days ago

    Karachi, Sindh, Pakistan IntraCare Full time 900,000 - 1,200,000 per year

    Job description:We are seeking a highly skilled and knowledgeable MSSP (Medicare Shared Savings Program) Specialist to support our Value-Based Care (VBC) initiatives. The ideal candidate will have strong expertise in CMS programs, risk adjustment, quality reporting, and care coordination. This role will collaborate closely with clinical, operational, and...

  • Data Analyst

    1 week ago

    Karachi, Sindh, Pakistan IntraCare Full time 900,000 - 1,200,000 per year

    Job Summary:We're hiring a Healthcare Data Specialist with strong expertise in data analytics to support our Value-Based Care (VBC) and MSSP initiatives. The role focuses on transforming healthcare data into actionable insights that improve performance, compliance, and patient outcomes.Key Responsibilities:Analyze and manage  CCLF, HCC, and quality...

  • Data Analyst

    2 weeks ago

    Karachi, Sindh, Pakistan Mac Care Full time 500,000 - 1,500,000 per year

    Job Description:Job SummaryWe're hiring a Data Analyst - VBC with strong expertise in data analytics to support our Value-Based Care (VBC) and MSSP initiatives. The role focuses on transforming healthcare data into actionable insights that improve performance, compliance, and patient outcomes.Key Responsibilities: Analyze and manage CCLF, HCC, and quality...

  • Senior Data Analyst

    1 week ago

    Karachi, Sindh, Pakistan IntraCare Full time 1,200,000 - 2,400,000 per year

    Job Description:Job SummaryWe're hiring a Senior Data Analyst - VBC with strong expertise in data analytics to support our Value-Based Care (VBC) and MSSP initiatives. The role focuses on transforming healthcare data into actionable insights that improve performance, compliance, and patient outcomes.Key Responsibilities: Analyze and manage CCLF, HCC, and...

  • Healthcare Specialist

    5 days ago

    Karachi, Sindh, Pakistan Quantalis AI Full time 250,000 - 750,000 per year

    Role DescriptionThis is a full-time, on-site Healthcare Specialist role based in Karachi Division. The Healthcare Specialist will be primarily responsible for providing medical expertise and support to clients, conducting training sessions, and ensuring the proper implementation of healthcare solutions. Day-to-day tasks include administering medical...

  • Healthcare Specialist

    5 days ago

    Karachi South District, Sindh, Pakistan QuantumNest Full time 400,000 - 600,000 per year

    Role DescriptionThis is a full-time, on-site Healthcare Specialist role located in Karachi South District. Responsibilities include providing high-quality medical assistance, performing emergency medical tasks, supporting healthcare training initiatives, and ensuring effective communication within a multidisciplinary team. The Healthcare Specialist will play...

  • Product Specialist

    1 day ago

    Karachi, Sindh, Pakistan Medilution Healthcare Full time 600,000 - 1,200,000 per year

    Company DescriptionMedilution Healthcare is a leading organization in the medical devices and diagnostics industry, focusing on marketing, sales, and distribution. We place patients at the center of everything we do, providing quality products, professional services, and unmatched knowledge to save and improve lives. Our mission is to deliver quality...

  • Healthcare Quality Audit Specialist

    1 day ago

    Karachi, Sindh, Pakistan MacCare Full time 400,000 - 800,000 per year

    Summary:The Quality Support Specialist will uphold the highest quality care for all assigned patients, understanding the regulatory reporting requirements for quality measure compliance. This role will assist the organization in staff training, coordination, and outreach events, as well as documented compliance with quality measures in accordance with HEDIS...