Senior Analyst, Risk Adjustment - Predictive Analytics (Remote)

Job description

Job Description Job Summary: The Sr Analyst, Risk Adjustment - Predictive Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina's Prospective and Retrospective Interventions. Assist with research, development, and completion of special projects. Knowledge/Skills/Abilities: - Assist Risk Adjustment Data Analytics Leaders in Prospective and Retrospective Intervention Strategy Analytics along with corresponding tracking of progress and impact of such interventions. - Development and QA of ad-hoc as well as automated analytical as well as Reporting modules related to Risk Adjustment for Medicaid, Marketplace and Medicare/MMP. - Assist Risk Adjustment Data Analytics Leaders in designing and developing Automated Suspect and Target/Ranking Engine for all line of businesses. - Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and related financial data like risk score, revenue and cost. - Calculate and track risk scores for all intervention outcome and for overall markets and LOB. - Work in an agile business environment to derive meaningful information o...