Director of Healthcare Economics

Job Summary

A company is looking for a Director of Healthcare Economics, Risk Adjustment.

Key Responsibilities

• Advise a technical team analyzing data for Medicare Advantage risk adjustment analytics
• Partner with stakeholders to shape strategy and oversee analytics execution
• Provide data-driven insights to leaders on performance trends and improvement priorities

Required Qualifications

• 7+ years of healthcare analytics experience focused on risk adjustment, including 3+ years in a leadership role
• Experience with CMS Medicare Advantage data files supporting forecasting and performance analysis
• Proficiency in SQL, Snowflake, Python, or similar tools for data management
• Expert-level understanding of CMS Risk Adjustment models and their application
• Advanced analytic skills including data analysis, manipulation, and reporting