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
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