Role Summary

HIGHLIGHTS

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.

JOB DESCRIPTION SUMMARY

Lead predictive analytics for Risk Adjustment across Medicaid, Marketplace, and Medicare/MMP
Design and develop suspect, targeting, and tracking engines for interventions
Analyze medical claims, pharmacy, lab and financial data to track risk scores and outcomes
Hands-on work with complex data using T-SQL, SSIS and SSRS
Role based in Long Beach, CA supporting cross-functional stakeholders and executives