Principal Risk Adjustment Analytics Lead
Job Summary
As a full-time remote Principal Risk Adjustment Analytics Lead, the successful candidate will design, build, and operationalize Medicare Advantage Part C risk adjustment analytics, serving as the analytic truth owner and collaborating with various departments to enhance financial performance and reporting accuracy.
Key responsibilities
- Build and maintain analytic assets, dashboards, and reporting for Part C and Part D risk-score performance
- Develop risk-score and revenue forecasting models, analyzing variances between projections and actuals
- Trace diagnoses and HCCs from source to payment, creating repeatable reconciliation controls
Required qualifications
- Bachelor's degree in Mathematics, Statistics, Computer Science, Data Analytics, Health Informatics, Finance, or Actuarial Science
- 8+ years of healthcare analytics experience, specifically in Medicare Advantage Part C Risk Adjustment
- Demonstrated experience analyzing Part C risk-score performance and related data flows
- Hands-on experience writing complex SQL for large-scale data environments
- Experience building dashboards and automated reports using tools like Power BI or Tableau
Complete Job Description
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