Government Programs Analyst
Full Time
Kansas City, MO 64108
Posted
Job description
Are you interested in learning about healthcare professions and the latest healthcare innovations in the KC area? Become part of an organization that is dedicated to making a difference in both your career and community.
Job Description Summary :
Job Description
- Provides business leadership to facilitate the implementation of moderately complex business and analytic approaches
- Perform Risk Adjustment oversight, including in-house EDGE server submissions, RAPS/EDS submissions and working with appropriate stakeholders to troubleshoot, resolve ACA/MA submissions, and reconcile applicable CMS RA reporting
- Understand business stakeholders’ objectives, the metrics that are the most important to them, and how they measure their performance
- Works with clients, end-users, technical architects, and developers to define the data requirements and structure for ACA and MA Risk Adjustment
- Prepares analytic dashboards, reports and visualizations using SQL, Alteryx, Power BI, R and other tools to provide insights and help your stakeholders improve their performance
- Incorporates analytical and problem resolution skills to effectively communicate analytic findings and approaches to management and staff.
- Develops and writes moderately complex executive summaries for reports related to Risk Adjustment findings and opportunities for program improvements
- Investigates and mines data to discover areas of opportunity for accurately capturing our member Risk Score. Works with cross-functional team members to assist in developing responses and action plans.
- Maintain full understanding of CMS guidelines and specifications as it relates to MA & ACA and Risk Adjustment.
Minimum Qualifications
- Associate's Degree in Health Information Management or Business or Technical Field or a High School diploma and 2 years of relevant experience.
- 3-5 years' relevant work experience
Preferred Qualifications
- Bachelor's Degree in Health Information Management or Business or Technical Field or a High School diploma and 4 years of relevant experience.
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