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sql excel risk adjustment medicaid medicare advantage📋 Description
- Own end-to-end TCO performance across MA and Medicaid.
- Identify cost drivers across inpatient, outpatient, pharmacy, and pro services.
- Partner with Finance, Risk Adjustment, Clinical, and Market leaders.
- Translate analyses into actionable insights for leadership.
🎯 Requirements
- 5+ years in medical economics or actuarial analytics.
- Deep MA/Medicaid claims data experience.
- Strong understanding of TCO drivers and PMPM analysis.
- Forecast medical cost trends and value-based contract performance.
- Advanced Excel and SQL; large healthcare datasets.
- Ability to structure ambiguous problems and deliver insights.
🎁 Benefits
- Competitive salary, equity grant, generous PTO.
- Comprehensive medical, dental, vision coverage.
- Company-sponsored 401k plan.
- Flexible working arrangement.
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