Full-Time Director of Analytics
Advantmed is hiring a remote Full-Time Director of Analytics. The career level for this job opening is Manager and is accepting USA based applicants remotely. Read complete job description before applying.
Advantmed
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Description
• As Director of Analytics, you will lead projects and initiatives that support the growth and advancement of Advantmed’s analytics capabilities and advancement of the Elevate Risk Adjustment Insights (ERAI) Platform. • Responsibilities include improving and executing chase list logic, gathering analytics requirements, creating custom reports, researching internal product and operational issues, and performing ad hoc queries and problem solving. • This position will be able to work independently with most of the time spent doing hands-on analytics that are needed to support our clients, our products, and to explore new opportunities. • This individual will be a Subject Matter Expert (SME) on Risk Analytics and have detailed knowledge of the HCC risk model for Medicare and Commercial ACA lines of business. • Also needed is a thorough understanding of risk adjustment services that Advantmed offers, including Record Retrieval (RR), Medical Record Review (MRR), and Prospective Health Assessments (PHA).
Requirements
• Bachelor’s Degree in math, computer science, or related field is desired. • 7+ years of experience in risk adjustment, risk analytics, and maintaining risk models for Medicare and Commercial ACA lines of business. • 5+ years of experience supporting prospective and retrospective risk adjustment projects including calculation of ROI. • 5+ years of hands-on experience writing SQL, responding to client requests and developing custom reports. • Subject Matter Expertise (SME) in Medicare and Commercial ACA risk adjustment • Experience in AI used to improve suspecting logic is highly desired • Strong track record of success in supporting risk analytics, client requests, production support, and problem resolution. • Outstanding communication and presentation skills needed to lead both internal and external meetings and to provide client support. • Ability to manage a team of data analysts and subject matter experts to support Advantmed’s growing analytics capabilities and advancement of the ERAI Platform.