Related skills
data analytics healthcare data warehousing risk adjustment predictive analytics📋 Description
- Lead a cross-functional team on risk assessment methods
- Drive compliance initiatives; liaison for Compliance & Legal
- Design risk algorithms with product/analytic teams
- Analyze health plan data to identify risk trends
- Create repeatable, measurable risk-action roadmaps
- Track KPIs: visits, RAF, coding accuracy, recapture
🎯 Requirements
- Bachelor's degree with 15+ years in healthcare
- Master's degree or advanced degree preferred
- 5+ years leading a risk stratification program at scale
- Deep knowledge of Medicare Advantage and Commercial risk stratification (ACA/HMO/PPO)
- Proficiency in data analysis, statistical modeling, predictive analytics
- Familiarity with data warehousing, data mining, healthcare information systems
🎁 Benefits
- Flexible remote-friendly schedules
- Health, dental and vision insurance up to 80%
- 21 days PTO in first year
- Two volunteer days and 11 holidays
- 12 weeks parental leave
- 401(k) with up to 4% match
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