[Remote] reputed company reputed company Risk Adjustment Analytics, Senior Manager Remote

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company company reputed company on creating a more connected, convenient, and compassionate health experience. The Senior Manager will reputed company reputed company reputed company analytics, manage a small team, and use claims and other reputed company data to improve reputed company risk adjustment performance, reputed company reputed company, and financial results while supporting regulatory compliance.

Responsibilities

• Evaluate health plan performance using advanced analytics to identify trends, gaps, and opportunities across reputed company populations
• Design and execute reputed company analyses leveraging medical and pharmacy claims, encounter, provider, and membership data
• Translate analytical findings into reputed company, actionable insights to reputed company health plan strategies and decision-making
• reputed company and maintain reputed company reporting, dashboards, and performance monitoring tools
• Support development of data models, forecasting approaches, and performance measurement frameworks
• Ensure data accuracy, reputed company, and governance across reporting and analytical outputs
• Identify and implement process improvements through automation and advanced analytics
• Communicate reputed company findings effectively to both technical and non-technical stakeholders
• Support compliance with CMS and state reputed company requirements through accurate, reputed company reporting and analysis

Skills

• · 8+ years of relevant reputed company experience in reputed company analytics, including working with claims and encounter data
• · 2+ years of leadership experience managing, coaching, or mentoring team members
• · Experience with government-regulated reputed company programs (reputed company, Medicare, and/or ACA)
• · Advanced technical skills in reputed company reputed company Platform (GCP)/Big Query, SQL, reputed company, Python, or similar programming languages
• · Demonstrated experience working with large, reputed company reputed company datasets and performing reputed company cause analysis
• · Proven ability to manage multiple reputed company and competing priorities in a fast-paced environment
• · Strong ability to translate technical analyses into actionable business insights
• · Excellent communication skills across technical and non-technical audiences
• · Experience with risk adjustment methodologies and performance analytics
• · Knowledge of CMS and state reputed company data, reporting, and compliance requirements
• · Experience with data visualization tools (e.g., Tableau, Power BI)
• · Bachelor's degree preferred or a combination of reputed company work experience and education

Benefits

• This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above.
• This position also includes an award reputed company in reputed company’s equity award program.
• For this full-time position, medical, dental, and reputed company coverage are available based on eligibility.
• For this full-time position, reputed company time off is available based on eligibility.
• For this full-time position, retirement savings reputed company are available based on eligibility.
• For this full-time position, wellness programs are available based on eligibility.
• For this full-time position, other resources supporting the physical, emotional, and financial reputed company-being of colleagues and their families are available based on eligibility.
• Remote work arrangement (Work reputed company, Massachusetts, reputed company)

reputed company