Financial Consultant Manager
Core
Leading end-to-end ownership of Medicaid Risk Adjustment business processes, including preparation and interpretation of complex risk adjustment, revenue, and financial analysis.
Role type
Manager, Financial Consultant (Medicaid Risk Adjustment)
Builds
Holistic and consistent solutions for Medicaid markets; innovative financial system solutions to reduce manual work.
Domain
Healthcare / Medicaid Risk Adjustment / Financial Analysis
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Budgeting, forecasting, accounting financial reporting, risk adjustment practices, Medicaid risk adjustment models, financial and risk score performance evaluation, regulatory compliance, business case development, ROI analysis, cost-benefit realization, strategic project implementation, data flow and controls knowledge, SQL or SQL Server proficiency
Preferred skills
MBA, MPH, MHA, CPA, CMA, FSA, CFA, advanced financial systems knowledge, presenting to business audiences, collaborative team production under rigorous schedules
Technologies
Snowflake, SQL, SQL Server
Responsibilities
Lead risk adjustment and revenue initiatives to improve business processes; manage enterprise or Medicaid business unit activities for business case development and ROI analysis; advise management on solutions and recommended actions; mentor and train team members; perform and document complex risk adjustment and financial analyses; prepare detailed reports for leadership and collaborate with auditors; partner with business teams to implement strategic projects; ensure compliance with state and federal regulatory requirements
Seniority
Manager, hands-on leadership