Posted in General Business 23 days ago.
Type: Full-Time
Job Description:
Summary:
The Manager, Risk Adjustment Modeling is responsible for the creation and maintenance of risk adjustment data models, including the CMS HCC, HHS HCC and NYS 3M CRG models, for the purpose of understanding current risk scores for risk adjustable populations, validating revenue from State and Federal sources, analyzing the impact of internal initiatives and external actions, and forecasting the trend of risk scores based on market and regulatory forces. Collaborates with risk adjustment leadership and internal departments on the development of strategy to ensure member risk scores accurately reflect their burden of illness. Responsible for supervising a team of data analysts and the development of those analysts.
Essential Primary Responsibilities/Accountabilities:
Minimum Qualifications:
Physical Requirements:
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The Lifetime Healthcare Companies aims to attract the best talent from diverse socioeconomic, cultural and experiential backgrounds, to diversify our workforce and best reflect the communities we serve.
Our mission is to foster an environment where diversity and inclusion are explicitly recognized as fundamental parts of our organizational culture. We believe that diversity of thought and background drives innovation which enables us to provide leading-edge healthcare insurance and services. With that mission in mind, we recruit the best candidates from all communities, to diversify and strengthen our workforce.
OUR COMPANY CULTURE:
Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits.
In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.
Equal Opportunity Employer
Compensation Range(s):
Grade 210A: Minimum $85,446 - Maximum $183,394
The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.
Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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