About the position The Medicare Risk Adjustment Business Information Consultant Sr is responsible for coordinating and consolidating various impact analyses for management reporting. This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Responsibilities • Conduct comprehensive research and analysis to identify trends, areas for improvement, and opportunities within Medicare markets and provider networks. • Gather and analyze data to develop insights aimed at optimizing provider performance. • Identify innovative solutions tailored to address specific provider needs and challenges. • Collaborate with cross-functional teams to develop strategies and action plans for implementing solutions. • Present research findings and proposed solutions to providers clearly and persuasively. • Build and maintain strong relationships with providers to facilitate collaboration and acceptance of solutions. • Contribute to the development and implementation of strategic initiatives aimed at improving risk adjustment outcomes. • Monitor the effectiveness of implemented solutions and make necessary adjustments to ensure optimal outcomes. • Develop metrics and KPIs to track the success of solutions and improvements. • Prepare comprehensive reports and dashboards to communicate performance improvements to stakeholders. • Serve as a strategic partner to the business and contribute to ideas and solutions. • Influence others and work effectively to establish and develop working relationships both internally and externally with business stakeholders. • Serve as a subject matter expert on Risk Adjustment programs and risk adjustment payment methodology. • Lead and consult with operations on ad hoc requests/special projects. Requirements • Requires a BA/BS degree in Statistics, Economics, or Business Administration and minimum of 8 years of relevant experience; or any combination of education and experience which would provide an equivalent background. Nice-to-haves • Strong analytical, organizational, presentation, and problem-solving, critical thinking skills strongly preferred. • Healthcare business knowledge related to Risk Adjustment Payment Methodology. • Proven track record of successfully implementing provider solutions that led to measurable improvements. • Ability to interpret and analyze complex data and translate this into meaningful, actionable information for provider groups and/or market leads. • Skilled at managing multiple projects involving cross-functional teams and maintaining high standards of quality and accuracy. • Advanced skills in Microsoft Office Suite, especially Excel for data handling and analysis, and PowerPoint for presentations. • Proficiency with Business Intelligence software like Tableau, Power BI to create reports and visualizations. Benefits • Merit increases • Paid holidays • Paid Time Off • Incentive bonus programs • Medical, dental, vision benefits • Short and long term disability benefits • 401(k) + match • Stock purchase plan • Life insurance • Wellness programs • Financial education resources Apply tot his job