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Actuarial Director, Risk Adjustment

3 months ago

United States of America Selby Jennings Full time

A leading health plan in the Midwest is looking for a seasoned ASA/FSA to lead its Risk Adjustment & Quality Analytics team

This position can be worked remotely from anywhere in the U.S. (with 5-10% annual travel to HQ)

Responsibilities

  • Conducts risk score calculations and forecasts for all lines of business
  • Assesses the financial implications of potential improvement initiatives and offers pricing and budgeting recommendations.
  • Manages the identification of diagnostic coding gaps, confidence modeling, and benchmarking.
  • Provides strong leadership to the Quality and Risk Adjustment Analytics team

Qualifications

  • Bachelors degree in mathematics or related field
  • 7+ years of Risk Adjustment AND Quality Analytics experience
  • 3+ years of management experience.
  • ASA/FSA designation