Advantmed · 3 days ago
Director of Analytics
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Electronic Health Record (EHR)Health Care
Growth Opportunities
Insider Connection @Advantmed
Responsibilities
Manage the day-to-day analytics needs by acting as the primary data analyst resource for the Client Success team
Serve as a Subject Matter Expert (SME) on risk adjustment and risk analytics for the Medicare and Commercial ACA lines of business
Lead discussion in client meetings and Quarterly Business Reviews, serving as an SME in risk adjustment and risk analytics to achieve client goals
Maintain, improve, and execute existing analytics logic and processes that meet the needs of clients, products, and services
Develop new, insightful, and innovative analytics that add value to clients, products, and services
Calculate the project ROI for Record Retrieval (RR), Medical Record Review (MRR), and Prospective Health Assessment (PHA) projects
Research client data, product operations, and performance issues that reduce client satisfaction and negatively impact the value story
Collaborate with divisional team leaders on product/service issues, including leading discovery, analytics, problem solving, and issue resolution
Prepare analytics, metrics, ROI, and risk adjustment strategy for client Quarterly Business Reviews (QBRs) and Annual Business Reviews (ABRs)
Support ERAI product enhancements and product roadmap with industry knowledge and expertise to continually improve the competitive offering
Perform QA of analytics and ERAI risk scoring engine runs, including modifications needed due to annual HCC risk model changes
Have the capability of leading a team of data analysts in the future as the business grows
Qualification
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Required
Bachelor's Degree in math, computer science, or related field is desired.
7+ years of experience in risk adjustment, risk analytics, and maintaining risk models for Medicare and Commercial ACA lines of business
5+ years of experience supporting prospective and retrospective risk adjustment projects including calculation of ROI
5+ years of hands-on experience writing SQL, responding to client requests and developing custom reports.
Subject Matter Expertise (SME) in Medicare and Commercial ACA risk adjustment
Strong track record of success in supporting risk analytics, client requests, production support, and problem resolution
Outstanding communication and presentation skills needed to lead both internal and external meetings and to provide client support
Ability to manage a team of data analysts and subject matter experts to support Advantmed's growing analytics capabilities and advancement of the ERAI Platform
Preferred
Experience in AI used to improve suspecting logic is highly desired