Informatics Manager - Risk Adjustment
Core
Support strategy, oversight, and valuation of vendors serving Medicare and Medicaid risk adjustment programs, using data to forecast revenue and identify risks.
Role type
Senior IC informatics manager (risk adjustment vendor management)
Builds
Vendor valuation models, performance scorecards, and governance routines for risk adjustment programs
Domain
Healthcare + Risk Adjustment + Vendor Management
Deliverable
production ML models
Required skills
Vendor management, financial analysis, risk adjustment program knowledge, SQL, Python, business intelligence reporting, data analytics, stakeholder management
Preferred skills
Medicare Advantage/Part D/Medicaid model expertise, 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 KPIs and governance routines; Use programming skills to oversee data and analytics; Translate risk adjustment requirements into business and technical specs; Develop AI-enabled capabilities for vendor oversight; Present findings to senior leaders
Seniority
Senior, hands-on IC
