Lead Analyst, National Risk Adjustment Predictive Analytics

📋 Description

• Lead analytical support for prospective and retrospective risk adjustment intervention strategies
• Design and develop systems to track risk scores, intervention outcomes, market performance, and
• Develop automated and ad-hoc quality assurance reporting modules supporting Medicaid, Marketplace
• Support the development of automated suspect, targeting, and ranking engines to identify
• Analyze complex healthcare datasets, including claims, pharmacy, laboratory, utilization
• Identify anomalies, outliers, changing trends, and improvement opportunities using statistical

🎯 Requirements

• Minimum of 4 years of experience developing complex SQL queries, functions, procedures, and data
• Hands-on experience with Microsoft T-SQL, Databricks SQL, Power BI, SQL Server Integration Services
• Experience applying predictive modeling, statistical analysis, forecasting, and performance
• Demonstrated ability to work with complex datasets and quantify financial, utilization
• Experience with cloud or distributed data platforms such as Microsoft Azure, Amazon Web Services
• Strong analytical thinking, attention to detail, problem-solving ability, and experience performing

🎁 Benefits

• Competitive annual salary range of $72,370.82–$156,803.45, with actual compensation dependent on
• Comprehensive benefits and compensation package.
• Full-time employment with a U.S.-based opportunity.
• Opportunity to work on enterprise-scale healthcare analytics spanning multiple lines of business.
• Exposure to advanced predictive analytics, risk adjustment, forecasting, data engineering, and
• Collaboration with cross-functional healthcare, analytics, finance, quality, and business teams.