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Principal Health Business Analytics - Risk Adjustment

Florida Blue

Closed

Principal Health Business Analytics - Risk Adjustment

United States · 9mo ago

Closed
Salary
$117k - $189k
Experience
8+ Years

Role Summary

Senior health analytics role focused on Medicare Risk Adjustment at a US health insurer. You will lead analytic strategy, analyze risk score and model performance, and partner with Finance and Actuarial to forecast revenue and evaluate CMS model impacts. The role requires strong SQL/SAS and advanced Excel skills and involves mentoring analysts and presenting insights to senior leadership.

Key Requirements

  • 8+ years of related work experience
  • 4+ years of experience with health business
  • Advanced SQL and/or SAS programming experience
  • Advanced Excel modelling and forecasting skills
  • Proven ability to lead high-impact analytics and mentor others

Skills & Domain

ToolsExcelPowerPoint
DomainRisk adjustment analyticsMedicare/CMS model impact analysis (e.g., V24 → V28)Advanced SQL/SAS programming for large datasetsAdvanced Excel modelling and financial forecastingHealth business operational and vendor/program evaluation