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Lead, Risk Adjustment - Predictive Analytics

Molina Healthcare

Closed
Health/Insurer/IC Level

Lead, Risk Adjustment - Predictive Analytics

Molina Healthcare

Long Beach, United States · 9mo ago

Closed
Salary
$148k - $184kest.
Experience
6+ Years

Role Summary

Senior health analytics lead focused on Risk Adjustment predictive analytics for Medicaid, Marketplace, and Medicare/MMP. You will design suspect/targeting engines, develop tracking systems for prospective and retrospective interventions, and work with executives and cross-functional teams in Long Beach, CA.

Key Requirements

  • 6+ years working with data mapping, scrubbing, and cleaning
  • 5+ years in a Managed Care Organization in a techno-functional analytics role
  • 5+ years experience with Microsoft T-SQL, SSIS and SSRS
  • 5+ years analyzing risk scores, encounter submissions, and payment models
  • 5+ years in prospective/retrospective targeting analytics and reporting

Skills & Domain

ToolsOther_BI_Tool
DomainData mapping, scrubbing, and cleaningManaged Care Organization techno-functional analyticsT-SQL, SSIS and SSRS developmentRisk score and encounter/payment model analysisProspective and retrospective targeting analytics