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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

Lead, Risk Adjustment - Predictive Analytics

Molina Healthcare

Closed
Health/Insurer/IC Level
Molina Healthcare

Lead, Risk Adjustment - Predictive Analytics

Molina Healthcare

Long Beach, United States · 9mo ago

MedicaidACA ExchangeMedicare Advantage
Closed
Salary
$148k - $180kest.
Experience
6+ Years

Job Overview

Salary
Salary not specified
Experience
6+ Years

Acturhire Base Salary Estimate

Typical range
$148k - $180k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for a senior health analytics professional with 5–8+ years in managed care risk adjustment (Medicaid/Marketplace/Medicare) who excels at SQL/T-SQL and building predictive targeting and tracking systems.

This role has closed

Molina Healthcare is no longer accepting applications for this position. Here are open roles like it.

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