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Role Summary

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HIGHLIGHTS

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.

JOB DESCRIPTION SUMMARY

  • Lead analytic strategy and execution for Medicare Risk Adjustment programs
  • Analyze risk score trends, model performance, and forecast CMS impacts
  • Build advanced SQL/SAS extracts and Excel-based models from large datasets
  • Mentor analysts and advance predictive modelling, automation, and dashboards
  • Senior role requiring 8+ years experience with health business exposure

DOMAIN EXPERTISE

  • Risk adjustment analytics
  • Medicare/CMS model impact analysis (e.g., V24 → V28)
  • Advanced SQL/SAS programming for large datasets
  • Advanced Excel modelling and financial forecasting
  • Health business operational and vendor/program evaluation

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

TECH STACK

  • Excel
  • PowerPoint
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Role Summary

Loading...

HIGHLIGHTS

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.

JOB DESCRIPTION SUMMARY

  • Lead analytic strategy and execution for Medicare Risk Adjustment programs
  • Analyze risk score trends, model performance, and forecast CMS impacts
  • Build advanced SQL/SAS extracts and Excel-based models from large datasets
  • Mentor analysts and advance predictive modelling, automation, and dashboards
  • Senior role requiring 8+ years experience with health business exposure

DOMAIN EXPERTISE

  • Risk adjustment analytics
  • Medicare/CMS model impact analysis (e.g., V24 → V28)
  • Advanced SQL/SAS programming for large datasets
  • Advanced Excel modelling and financial forecasting
  • Health business operational and vendor/program evaluation

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

TECH STACK

  • Excel
  • PowerPoint

Job Overview

Salary
$117k - $189k
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health analytics professional with 8+ years and 4+ years in health/Medicare risk adjustment, strong SQL/SAS and advanced Excel skills, and experience delivering analytics to senior leadership.

Benefits

Health InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term Disability401(k) PlanBonus EligibleGenerous VacationWellness Program
Shortlist Forming
Closing Soon
49d
49 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
$117k - $189k
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health analytics professional with 8+ years and 4+ years in health/Medicare risk adjustment, strong SQL/SAS and advanced Excel skills, and experience delivering analytics to senior leadership.

Benefits

Health InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term Disability401(k) PlanBonus EligibleGenerous VacationWellness Program
Shortlist Forming
Closing Soon
49d
49 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."

Health/Insurer/IC Level
Florida Blue

Principal Health Business Analytics - Risk Adjustment

Florida Blue•United States•1mo ago
Medicare AdvantagePredictive Modelling & MLBusiness Intelligence & ReportingExperience Studies

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