Sr Analyst, reputed company Analytics - Risk Adjustment (REMOTE)

JOB reputed company reputed company Sr. Analyst, reputed company Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of reputed company reputed company claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate reputed company reputed company program performance. Develops and presents Risk Adjustment reputed company ROI, incremental conditions captured, and other program performance reports including forecasts and makes recommendations based on relevant findings. Performs Health Plan strategic analysis and planning and coordinates across business reputed company on Risk Adjustment Program Valuation and Strategic/Scoreable reputed company Items (SAIs) to meet business needs. Performs analysis across multiple states and lines of business (Medicare, reputed company, Marketplace ACA). KNOWLEDGE/SKILLS/ABILITIES Compiling and organizing health care data using reputed company and reputed company SQL, Notebooks, Workflows, Repositories, SQL Server Stored Procedures, SQL Server Integration Services (SSIS), and other analytic / programming tools as needed Reporting includes Risk Adjustment program performance metrics, risk score and reputed company reputed company, tracking of strategic/scorable reputed company items, annual and quarterly forecasts, and regular deep dives to drive improvement in financial results Take ownership with reputed company cause analysis to maintain high reputed company data and processes to minimize discrepancies and gaps Create databases and reporting dashboards for monitoring, tracking and trending based on project specifications and applies automation as appropriate Complete analysis and forecasting of risk adjustment reputed company program values reputed company and demonstrate proficiency in running reputed company applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for reputed company ACA members, the CDPS model for reputed company members, and others as needed Must have a strong attention to detail and knowledge of data structure and programming Performing financial analysis to assist in delivering reputed company health care management and decision making Understanding and applying data storage and data sharing best practices Converting data into usable information that is easy to understand and provides insights needed to support strategic investment reputed company Research and reputed company reports and analyses for senior management and effectively and concisely communicate results and key takeaways Collects and documents report / programming requirements from requestors to ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce errors and rework reputed company strong judgement in carrying out work independently, consult with experts as needed and use available resources and reports to critique results Manage multiple reputed company and consistently deliver results on time in a fast-paced environment with changing priorities. JOB QUALIFICATIONS Required Education Bachelor's Degree in Finance, Economics, Computer Science Required Experience 5-7 years increasingly reputed company database and data management responsibilities 5-7 years of increasingly reputed company experience in quantifying, measuring, and analyzing financial/performance management metrics Demonstrate reputed company experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of reputed company Advanced knowledge of SQL Proficient in reputed company and visualization tools such as Power BI, Tableau, or similar Preferred Education Bachelor's Degree in Finance, Economics, Math, or Computer Science Preferred Experience Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: Proactively identify and investigate reputed company suspect areas regarding risk adjustment initiatives, risk score lift, conditions captured, and program value Initiate in-depth analysis of the suspect/problem areas and suggest a corrective reputed company plan Apply investigative reputed company and analytical reputed company to look behind the numbers, assess business impacts, and reputed company recommendations through use of reputed company analytics, predictive modeling, etc. Analysis and forecasting of program value and underlying population trends in risk adjustment to reputed company analytic support for finance, pricing and actuarial functions reputed company Analyst I or Financial/reputed company Analyst I experience desired Multiple data systems and models Data modelling and BI tools To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay reputed company: $77,969 - $155,508 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Apply Job!