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Role Summary

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HIGHLIGHTS

Director-level health actuarial role focused on Risk Adjustment and Quality Analytics at a Minnesota Blue Cross plan. Lead analytics for Medicare, ACA, and Medicaid risk score computation, forecasting, RADV audit support, and performance measurement. Manage a team, influence pricing/budget decisions, and build dashboards and provider performance reporting. Hybrid role anchored in Eagan, MN (two days in office per week).

JOB DESCRIPTION SUMMARY

  • Lead Risk Adjustment and Quality Analytics for Medicare, ACA, and Medicaid
  • Oversee risk score computation, forecasting, and diagnostic coding gap analysis
  • Manage and grow a cross-functional analytics team with hiring and performance duties
  • Drive dashboards, provider performance metrics, and audit support (RADV/OIG)
  • Hybrid role — typically 2 days per week in the Eagan, MN office

DOMAIN EXPERTISE

  • Medicare/ACA/Medicaid risk adjustment analytics
  • risk score computation and forecasting
  • RADV and regulatory audit support
  • diagnostic coding gap identification and confidence modeling
  • provider performance and engagement analytics

KEY REQUIREMENTS

  • 7+ years related experience with 3+ years management experience
  • ASA credential or equivalent experience required
  • Proficient with statistical software (e.g. SAS) and cloud-based platforms
  • Experience with risk score computation and forecasting for Medicare/ACA/Medicaid
  • Legal authorization to work in the U.S. required

TECH STACK

  • No tech stack specified
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Role Summary

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HIGHLIGHTS

Director-level health actuarial role focused on Risk Adjustment and Quality Analytics at a Minnesota Blue Cross plan. Lead analytics for Medicare, ACA, and Medicaid risk score computation, forecasting, RADV audit support, and performance measurement. Manage a team, influence pricing/budget decisions, and build dashboards and provider performance reporting. Hybrid role anchored in Eagan, MN (two days in office per week).

JOB DESCRIPTION SUMMARY

  • Lead Risk Adjustment and Quality Analytics for Medicare, ACA, and Medicaid
  • Oversee risk score computation, forecasting, and diagnostic coding gap analysis
  • Manage and grow a cross-functional analytics team with hiring and performance duties
  • Drive dashboards, provider performance metrics, and audit support (RADV/OIG)
  • Hybrid role — typically 2 days per week in the Eagan, MN office

DOMAIN EXPERTISE

  • Medicare/ACA/Medicaid risk adjustment analytics
  • risk score computation and forecasting
  • RADV and regulatory audit support
  • diagnostic coding gap identification and confidence modeling
  • provider performance and engagement analytics

KEY REQUIREMENTS

  • 7+ years related experience with 3+ years management experience
  • ASA credential or equivalent experience required
  • Proficient with statistical software (e.g. SAS) and cloud-based platforms
  • Experience with risk score computation and forecasting for Medicare/ACA/Medicaid
  • Legal authorization to work in the U.S. required

TECH STACK

  • No tech stack specified

Job Overview

Salary
$132k - $225k
Years of Experience
7+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Director-level health actuary (ASA) with significant experience in Medicare/ACA/Medicaid risk adjustment, strong statistical modeling skills (SAS/cloud platforms), and demonstrated people leadership in analytics.

ASA

Benefits

Health InsuranceDental InsuranceVision InsuranceLife Insurance401(k) PlanPaid Time OffVolunteer Time OffHybrid Work
Shortlist Forming
Closing Soon
71d
71 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$132k - $225k
Years of Experience
7+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Director-level health actuary (ASA) with significant experience in Medicare/ACA/Medicaid risk adjustment, strong statistical modeling skills (SAS/cloud platforms), and demonstrated people leadership in analytics.

ASA

Benefits

Health InsuranceDental InsuranceVision InsuranceLife Insurance401(k) PlanPaid Time OffVolunteer Time OffHybrid Work
Shortlist Forming
Closing Soon
71d
71 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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