Senior Analyst, Risk Adjustment - Predictive Analytics (Remote)
Tasks
- Analyze managed care data for risk and financial metrics
- Assist with special projects
- Calculate and track risk scores
- Conduct pre and post impact analysis for logic and source code changes
- Conduct root cause analysis for data issues
- Design automated suspect and ranking engine
- Detect anomalies outliers and trend changes
- Develop and QA risk adjustment reporting modules
- Follow CMS and state risk adjustment regulations
- Forecast cost utilization and performance trends
- Manage data warehouse changes and upgrades
- Perform data analysis data mining and verification
- Provide executive summaries of findings
- Support prospective and retrospective intervention analytics
Perks/Benefits
- N/A
Skills/Tech-stack
Anomaly Detection | Cause analysis | Data Mapping | Data Mining | Data Modeling | Data Quality | Data Warehousing | Data cleaning | Data scrubbing | Forecasting | Marketplace | Medicaid | Medicare | Reporting | Root Cause Analysis | Root cause | SQL | SSIS | SSRS | Statistical Analysis | T-SQL
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