Sr. Director, Risk Adjustment Data & Analytics (Remote)
Core
Senior technical and operational leader responsible for advancing the integrity, completeness, and strategic value of Medicare Risk Adjustment (MRA) data and analytics programs, serving as the primary accountable leader for MRA data operations.
Role type
Sr. Director, Risk Adjustment Data & Analytics
Builds
MRA data operations ecosystem enabling suspecting, chart review, coding, submission, and reconciliation workflows at scale
Domain
Healthcare / Health Insurance / Medicare Advantage
Deliverable
production ML models | dashboards & analysis | client delivery
Required skills
Medicare Risk Adjustment (MRA) Operations, Data Analytics & Statistical Modeling, Business Intelligence & Reporting Tools, SQL & Data Querying, Cloud & Data Platform Literacy
Preferred skills
Experience building or scaling data functions in health plans, Experience with chart retrieval vendors, Experience implementing coding and auditing platforms
Technologies
Power BI, Tableau, Excel, Google Sheets, SQL, Python, R, Azure, AWS, GCP
Responsibilities
Lead MRA Data Operations and Ecosystem Quality, Drive Analytical Insights and Program Performance Reporting, Ensure Audit Readiness, Data Governance, and Compliance, Partner Strategically with Finance, Actuarial, and Clinical Stakeholders, Direct and Develop the MRA Analytics Team, Identify and Remediate Data Quality and Process Gaps
Seniority
Senior, hands-on IC with people management responsibilities