Sr. Manager, APM Modeling & Analytics
Tasks
- Create automated testing scripts and exception reporting
- Deliver production ready validated APM outputs to clients
- Develop and maintain benchmark attribution risk adjustment and reconciliation logic
- Ensure compliance with CMS methodological guidance
- Ensure integrity of actuarial inputs in value based contract modeling
- Establish coding standards and validation protocols for model governance
- Establish governance for underwriting assumptions and change control
- Extract structure and analyze Medicare claims and enrollment data from CMS VRDC
- Facilitate risk adjustments and calculate project PMPM benchmarks
- Identify model vulnerabilities and mitigate financial exposure
- Implement independent validation standards and QA processes
- Maintain version control documentation and auditability of models
- Own end to end financial modeling for CMS LEAD and other APMs
- Process large claims datasets with SAS and Python
- Run sensitivity testing and perform reconciliation and true up calculations
- Translate CMS technical specifications into actuarial models
Perks/Benefits
Skills/Tech-stack
Actuarial modeling | Amazon QuickSight | Automated testing | Benchmarking | Data Ingestion | Data Validation | Healthcare Analytics | PMPM Modeling | Python | Risk adjustment | SAS | SQL | Value-based | Value-based contracting | Version control
Related jobs
-
Manager, Data Science USD 161K-201KAmazon Web Services | Apache Spark | Conda | H2O | Machine LearningEmployee referral program | Telecommuting permittedSenior-level Full TimePlano, TX, United States R1d ago
-
Manager, Data Platform & Integrations USD 124K-236KAPI | Adaptive Planning | Concur | Data Architecture | Data Governance401k match | Dental insurance | Flexible spending account | Maternity leave | Medical insuranceMid-level Full TimeMcLean, VA R1d ago
-
Manager, Statistical Programming Consultant USD 162K-206KADaM | Automation | CDISC | Clinical data | Clinical data standardsCareer growth opportunities | Global CRO experience | Training and developmentMid-level Full TimeUnited States R1d ago
-
Data Engineering Manager USD 179K-242KAlerting | Apache Airflow | DBT | Data Pipelines | Data QualityRemote workMid-level Full TimeRemote - U.S. R2d ago
-
AI Engineering Manager/ Delivery Lead (Remote) USD 116K-325KAutomation | CI/CD | Data Structures | Data Structures and Algorithms | JavaSenior-level Full TimeDurham, North Carolina, United States of … R2d ago
-
AI Transformation Lead USD 155K-175KAI architecture | AI strategy | API | API Integration | Agent systemsCompany holidays | Conference support | Course support | English Learning Coverage | Flexible hoursSenior-level Full TimeCyprus - Remote R2d ago
-
Risk Adjustment Financial Analytics Lead USD 106K-147KData Analysis | Financial Modeling | Forecasting | Healthcare Analytics | Risk adjustment401k retirement savings | Life insurance | Paid time off | Remote workSenior-level Full TimeRemote US, United States R2d ago
-
Senior Manager, Strategic Workforce Analytics USD 136K-165KAI tools | Access Control | Amazon QuickSight | Audit trails | AutomationBonus incentive | Employee resource groups | Employee stock purchase plan | Equity grants | Health benefitsSenior-level Full TimeUnited States R2d ago
-
Data Engineer USD 127K-175KAWS | Airbyte | Airflow | Alerting | CI/CD401k contribution | Dental insurance | Health insurance | Life insurance | Long-term disabilitySenior-level Full TimeUnited States - Remote R2d ago
-
Project Manager – Analytics & Engineering USD 170K-175KAgile | Azure Blob | Azure Blob Storage | Azure Data | Azure Data FactoryTelecommuting permittedMid-level Full TimeUnited States R2d ago
-
Head of Quantitative Panel, Market Research USD 190K-230KA/B | A/B Testing | B testing | CRM | Campaign Optimization401k match | Casual work environment | Commuter benefits | Comprehensive medical, dental, vision | Corporate athletic leagueExecutive-level Full TimeNew York, New York, United States R2d ago
-
Data Science Manager, Shopping Experience USD 182K-230KA/B | A/B Testing | Analytics | B testing | DashboardingAnnual equity refresh grants | New hire equity grant | Remote work flexibilityMid-level Full TimeUnited States - Remote R2d ago
-
2026 Data Analytics Internship USD 44K-50KAirflow | DBT | Dagster | Embeddings | GitEquipment provided | Remote workEntry-level Internship Part TimeUnited States R2d ago
-
Principal Product Manager - AI/ML USD 159K-230KAPI Development | Agile | Amazon SageMaker | Artificial Intelligence | ExperimentationSenior-level Full TimeNew York, NY R2d ago
-
Director, Performance Marketing Analytics USD 144K-244KA/B | A/B Testing | Analytics tools | B testing | Data Governance401k employer match | Dental insurance | Disability insurance | Flexible spending accounts | Flexible time offExecutive-level Full TimeRemote, United States R3d ago
-
Manager, Data Architecture and Development USD 81K-106KAPI Integration | AWS Redshift | Apache Airflow | Apex | Azure401k matching | Flexible time off | Paid Holidays | Paid parental leave | Professional development opportunitiesSenior-level Full TimeRemote, United States R3d ago
-
Global Master Data Governance Manager USD 144K-240KAI | Analytics | Anomaly Detection | Capacity Planning | Change Management401k matching | Disability benefits | Employee assistance program | Life insurance | Medical, dental & vision coverageMid-level Full TimeGreenville, United States R3d ago
-
Head of Data & Analytics USD 316K-372KAI | Airflow | Analytics engineering | Automation | DBTCellphone stipend | Commuter benefits | Company-Paid Holidays | Family planning benefits | Flexible PTOExecutive-level Full TimeRemote U.S. R3d ago
-
Senior Analytics Engineer USD 156K-187KAmazon Redshift | BigQuery | CI/CD | Cloud Data | Cloud Data WarehouseBackground check required | Remote-friendly | Startup environmentSenior-level Full TimeUNITED STATES - Remote, CANADA - … R3d ago
-
Senior Analytics Engineer USD 155K-190KAI | Airbyte | Amazon Redshift | Analytics pipeline | Automated reporting401k | Dental insurance | Flexible time off | Medical insurance | Monthly wellness reimbursementSenior-level Full TimeRemote (United States) R3d ago
-
Senior Analytics Engineer USD 132K-178KClustering | Code review | DBT | Data Modeling | Data QualityEducational reimbursements | Gym subsidies | Health benefits | Matched 401k | PTOSenior-level Full TimeRemote - US R3d ago
-
Manager - Adv Business Analytics - CX USD 110K-180KClustering | DBT | Data Governance | Data Modeling | Data Quality401k matching | Caregiver leave | Discount programs | Employee assistance program | Paid HolidaysMid-level Full Time500 Woodward Avenue, MI, 601 S. … R3d ago
-
Data Science Manager USD 236K-279KA/B | A/B Testing | B testing | Experimentation | SQLTelecommuting allowedMid-level Full TimeMenlo Park, CA | Remote, US R3d ago
-
Blockchain, Data Analytics (Remote) USD 125K-160KA/B | A/B Testing | AWS | Airflow | Azure401k | Health insurance | Maternity & paternity leave | Remote work environmentMid-level Full TimeNew York R3d ago
-
Senior Manager, AI Inference USD 210K-358KAgile | C++ | CUDA | High Performance | High-Performance Computing401k employer match | Dental insurance | Disability benefits | Employee assistance program | Employee stock purchase planSenior-level Full TimeBoston, United States R4d ago