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Senior Manager, Health Business Analytics – Medicare Risk Adjustment
Location
United States
Posted
16 days ago
Salary
$119.4K - $194K / year
Seniority
Senior
Job Description
Senior Manager, Health Business Analytics – Medicare Risk Adjustment
GuideWell Source
• Manages a team through providing oversight, strategy implementation and execution for Medicare Risk Adjustment Programs. • Oversee the end-to-end strategy for risk adjustment programs, including prospective and retrospective processes. • Partner with actuarial and finance teams to support bid development, producing defensible risk score projections, trend analysis, and revenue assumptions. • Manage work to produce customer value by planning and forecasting, setting objectives and priorities, establishing goals, clarifying accountabilities, assigning work and utilizing management and financial controls. • Lead analysis, provide recommendations, and represent Analytics. • Work closely with leaders across business areas to drive results across the business. • Manage levels of performance and assist with employees’ professional growth by planning and building an effective organization; communicating effectively; coordinating with others; maintaining employee morale; motivating, recognizing and rewarding others; coaching and developing others, and engaging in self-development. • Manage business and public relationships and situations to obtain better business outcomes; communicate effectively and coordinate with others. • Develop, prioritize and implement strategy; set policies and procedures and manage creativity and innovation with primary goal of impacting health business.
Job Requirements
- 8+ years related work experience. Experience Details: Strong Risk Adjustment experience in commercial and or Medicare.
- 3+ years direct supervisory/management experience
- Related Bachelor’s degree or additional related equivalent work experience
- Experience working with statistical methodologies and risk adjustment
- Experience writing SQL /SAS or related code to perform quantitative risk score analysis
- Advanced Excel skills
- Experience using algorithms and inferential statistics.
- Expert consulting, negotiating, communicating, consensus building, presentation and facilitation skills
- In-depth business process knowledge of several key business functional areas
- Expert-level ability communicating highly complex information clearly and articulately for all levels and audiences
- Demonstrated leadership abilities including effective knowledge sharing and conflict resolution
- Experience communicating and presenting detailed business and financial information
- Ability to understand overall Analytics strategy and apply/implement the strategy in assigned projects/initiatives/programs
Benefits
- Medical, dental, vision, life and global travel health insurance;
- Income protection benefits: life insurance, short- and long-term disability programs;
- Leave programs to support personal circumstances;
- Retirement Savings Plan including employer match;
- Paid time off, volunteer time off, 10 holidays and 2 well-being days;
- Additional voluntary benefits available;
- A comprehensive wellness program
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