Informatics Manager - Risk Adjustment
Core
Support strategy, oversight, and valuation of vendors serving Medicare and Medicaid risk adjustment programs.
Role type
Senior Informatics Manager (Risk Adjustment & Vendor Management)
Builds
Vendor solutions, governance routines, and performance measures for risk adjustment programs
Domain
Healthcare / Risk Adjustment / Vendor Management
Deliverable
production ML models | dashboards & analysis
Required skills
Vendor management, Financial analysis, Data analysis, SQL, Python, Business intelligence reporting, Risk adjustment program knowledge, Stakeholder management, Problem-solving
Preferred skills
Medicare Advantage/Part D/Medicaid models, Contract performance measures, Cloud platforms (AWS/GCP), Databricks, AI-enabled analytics
Technologies
SQL, Python, Amazon Quick, Tableau, Power BI, AWS, GCP, Databricks
Responsibilities
Support vendor strategy, selection, contracting, onboarding, and performance management; Develop vendor valuation methodologies; Evaluate vendor capabilities and data quality; Establish scorecards and KPIs; Use programming skills to oversee data and analytics; Translate requirements into business and technical specifications; Present findings to senior leaders
Seniority
Senior, hands-on IC with strategic oversight
