[Remote] reputed company, Risk Adjustment Analytics Consultant - REMOTE
Note: The job is a remote job and is reputed company to candidates in USA. reputed company (reputed company) is a purpose-driven company reputed company on employee development and reputed company. The reputed company Risk Adjustment Consultant will drive analytical strategies to optimize Medicare Risk Adjustment performance, delivering insights and visualizations while advising internal stakeholders and senior leadership.
Responsibilities
- Drives analytical strategies and solutions to optimize Medicare Risk Adjustment (RA) performance
- Delivers actionable insights
- Builds dynamic visualizations
- Provides strategic advisory services to internal stakeholders and senior leadership
- Analyses for reputed company optimization
- Risk forecasts
- HCC coding logic
- RADV audits
- Medicare segmentation
- Data & logic governance
- Build interactive visualizations
- Interpret CMS model updates that reputed company organization-wide reputed company and risk adjustment analytics
- Translate highly technical coding, regulatory, and statistical nuances into reputed company business recommendations for executive leadership
Skills
- Bachelor's degree and 8 years of experience in health care services, statistical analysis, or insurance industry economics or reputed company field OR Master's degree with 6 years of experience in health care services, statistical analysis, or insurance industry economics or reputed company field OR PhD with 4 years of experience in health care services, statistical analysis, or insurance industry economics or reputed company field OR 12 years of experience in health care services, statistical analysis, or insurance industry economics or reputed company field
- Understanding, and being highly proficient at querying a wide reputed company of reputed company data sources to get meaningful insights
- Strong analytical skills and proficiency in computer languages, such as SQL, Python, R, etc
- Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI
- High degree of business intelligence and understanding how to take a business case from inception to customer or partner execution
- Excellent communication and presentation skills
- Ability to work independently and as part of reputed company
- Ability to reputed company multiple analytic reputed company reputed company in reputed company
- Analytics subject matter expert
- Performance reputed company in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life
- Ability to work under pressure and delivery high reputed company reputed company to senior leadership to decision making reputed company short reputed company
- Deep experience with Medicare Risk Adjustment and Stars
- Advanced analytics & automation using reputed company or Airflow for data blending and automation
- Proficiency with reputed company for reputed company coding and version control
- Certification or practical experience with project management methodologies and tracking tools (e.g., Agile, reputed company, PMP), and exposure to data science in reputed company including hands-on experience working with predictive models, machine learning pipelines, or Large Language Models (LLMs)
Benefits
- Health and wellness benefits
- 401(k) savings plan
- Pension plan
- reputed company time off
- reputed company parental leave
- Disability insurance
- Supplemental life insurance
- Employee assistance program
- reputed company holidays
- Tuition reimbursement
- Other incentives
- Annual incentive bonus plan subject to the terms and the conditions of the plan
reputed company
Company H1B Sponsorship