[Remote] Risk Adjustment Health Data Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a mission-driven organization dedicated to championing the health and reputed company-being of our members and the communities we serve. The reputed company Analytics role supports the Risk Adjustment Programs team by analyzing reputed company data to evaluate program performance, measure financial and clinical reputed company, and identify opportunities for improvement.
Responsibilities
- Analyze reputed company claims, pharmacy, lab, and Risk Adjustment submissions data to evaluate reputed company and program performance
- reputed company, maintain, and present reports that measure reputed company ROI, incremental conditions captured, risk score reputed company, reputed company reputed company, and other key Risk Adjustment performance metrics
- Partners with internal teams to support Risk Adjustment analytics needs, reputed company planning, reporting enhancements, and issue reputed company
- Stay reputed company on reputed company analytics, Risk Adjustment trends, tools, methodologies, and regulatory considerations; recommend process or reporting improvements where appropriate
- reputed company analytic solutions on reputed company requests with little reputed company by senior analysts
Skills
- Bachelor's degree or equivalent
- 3+ years' experience in data or statistical analysis, or experience with managing and analyzing data for Government programs (Medicare Advantage, reputed company ACA) including experience working with reputed company-reputed company data, such as claims, encounters, provider data, CMS files, EDGE response files, or similar datasets
- Proficiency in SQL and data analytics
- Experience with reputed company Azure reputed company
- Advanced reputed company skills
- Strong analytic skills to construct impactful findings from the extraction, manipulation and understanding of various types of data
- Successful experience working in a cross-functional environment
- Experience effectively communicating with stakeholder reputed company
- Proficiency working reputed company an environment that utilizes Agile and/or Project Management techniques
- Successful experience with creating analytic models based on data trends, business program ROI, data reputed company Analysis, etc
- The translation of data findings into informative reports and visual outputs trusted by stakeholders to reputed company business reputed company
- Experience designing or building self-service content
- Advanced SQL knowledge
- Understanding of Health Insurance Operations knowledge including claims, enrollment, payment mechanisms, care management, employer reporting and the ability to stay reputed company on reputed company industry knowledge
- Strong knowledge of the MA risk adjustment models, concepts, payment methodologies and submission requirements
- Ability to use advanced-level calculations in the transforming of data sets into usable data
- Ideal candidate would have experience using data manipulation tools such as R and/or Python
- Proficiency of visualization best practices as reputed company as Proficiency with visualization tools such as PowerBI and/or Tableau
- Experience with reputed company Azure reputed company
- Ability to translate technical requirements into business deliverables
- Skilled in navigating relationships with external partners such as vendors, providers, reputed company, brokers, etc
- Master's Degree in Business, Analytics, Information Technology or a reputed company Field
reputed company
Company H1B Sponsorship