Lead Director, Risk Adjustment Performance Reporting and Insights
Core
Lead enterprise risk adjustment analytics and business intelligence solutions to transform complex clinical, operational, and risk adjustment data into actionable insights for provider performance and executive decision-making.
Role type
Senior IC Lead Director (Risk Adjustment Performance Reporting & Insights)
Builds
Enterprise dashboards, reporting tools, and advanced analytics platforms for risk adjustment KPIs and provider performance.
Domain
Healthcare / Risk Adjustment / Business Intelligence
Deliverable
production ML models | dashboards & analysis
Required skills
Healthcare analytics, risk adjustment methodologies, HCC models, claims data analysis, clinical data analysis, executive communication, strategic thinking, team development, SQL, Python, Power BI, Tableau, QuickSight
Preferred skills
Medicare/Medicaid/ACA risk adjustment expertise, CMS regulatory knowledge, value-based care program evaluation, predictive analytics, data visualization, self-service reporting tool design
Technologies
SQL, Python, Power BI, Tableau, QuickSight
Responsibilities
Share risk adjustment KPIs and performance drivers via dashboards; quantify drivers of risk movement; assess performance against organizational objectives; deliver executive insights for market strategy; develop provider performance analytics for gap closure; monitor provider performance metrics; lead adoption of AI and automation in analytics; modernize analytics platforms; establish KPI definitions and governance standards; lead and mentor a team of 4-5 direct reports.
Seniority
Director, hands-on IC with leadership scope
