Lead Analyst, Risk Adjustment Analytics
Tasks
- Analyze CMS data for operational efficiency opportunities
- Assess RAF leakage and implement controls
- Assess program and policy impacts
- Develop business cases for opportunity and target metrics
- Interpret trends and model scenarios
- Link operational performance to enterprise financial outcomes
- Perform end to end reconciliation with CMS acceptance
- Prepare reports presentations and recommendations for leadership
- Translate risk adjustment performance data into financial insights
Perks/Benefits
- 401k employer match
- Bonding Leave
- Comprehensive medical, dental, and vision insurance
- Employee assistance programs
- Family forming services
- Flexible spending account
- Health savings account
- Hybrid/Remote flexibility
- Life and disability insurance
- Living donor leave
- Mental health support
- Paid Holidays
- Paid parental leave
- Paid sick time
- Paid time off
- Professional development stipend
- Sabbatical
- Wellness perks
Skills/Tech-stack
Actuarial Science | Amazon Redshift | DBT | Microsoft Excel | Power BI | SQL
Education
Roles
Analyst | Business Analyst | Data Analyst | Risk Adjustment Analyst
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