Director of Medicare Risk Adjustment Analytics and Reporting

2 weeks ago


Las Vegas, Nevada, United States Elevancehealth Full time
Job Title: Director of Medicare Risk Adjustment Analytics and Reporting

At Elevance Health, we are seeking a highly skilled and experienced Director of Medicare Risk Adjustment Analytics and Reporting to join our team. As a key member of our organization, you will be responsible for leading our reporting and data analysis team to achieve business objectives through information management.

Key Responsibilities:
  • Obtain resources (people, funding, material, support) to support business unit information needs and strategic initiatives.
  • Provide leadership in motivating subordinates to accomplish reporting and data analysis goals and objectives.
  • Develop a strong team through training and effective organizational development practices.
  • Report project status and progress to business unit senior management.
  • Ensure accuracy and timeliness of output and deliverables for assigned functional areas.
  • Implement the policies, practices, and procedures of the company and business units supported.
  • Have fiscal responsibility for area budgets.
  • Establish relationships with business users both internal and external.
  • Hire, train, coach, counsel, and evaluate performance of direct reports.
  • Oversee entire reporting/analysis/consulting unit or all aspects of a centralized function.
  • Participate with other executives to establish strategic plans and objectives.
  • Make final decisions for IM function at the business unit level and ensure operations' effective achievement of objectives.
  • Coordinate project management across department & divisional line.
  • Ability to communicate with customers about technical issues in non-technical terms.
Requirements:
  • Requires Bachelor's degree and 10+ years experience leading project teams, or any combination of education and experience, which would provide an equivalent background.
  • Knowledge of IM technologies, organizational structure, and customer information needs preferred.
  • 10+ years of experience in risk adjustment and data analytics preferred.
  • Experience with SAS, SQL, Python, R, or similar tools/languages strongly preferred.
  • Prior leadership or management experience strongly preferred.
  • Effective communication skills, including facilitation, consultation, negotiation and persuasion preferred.
  • Experience with multiple risk adjustment models (MA, ACA, Medicaid) and markets preferred.
  • Familiarity with Star and other quality incentive programs preferred.
What We Offer:

We offer a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. We also offer medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources.

We operate in a Hybrid Workforce Strategy, and specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.



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