Responsible for direct leadership of the Risk Adjustment Performance and Strategic Analytics Team and the Risk Adjustment Data and Analytics Team
Design and develop metrics, reports, and dashboards to drive key strategic and tactical decisions
Coordinate risk adjustment analytics throughout the broader organization
Investigate risk adjustment trends across all areas including enrollment, providers and claims
Ensure business deliverables are being met and risk adjustment data is provided to Government Programs leaders
Act as the primary contact for facilitating resolution on urgent issues
Drive innovation and improvements through deep dive analytics
Oversee the assessment of reporting requests, compilation, and distribution of routine and ad hoc reports
Coach, mentor, and develop analytic team members
Oversee submission of BCBSMA’s Encounter Data submission to CMS

Excellent knowledge of Medicare risk adjustment model
Knowledge of Medicare and risk adjustment data and system interfaces required
SAS/SQL experience required
Other experience with the use of software for data analysis, extraction, and manipulation (e.g., Python, R)
data visualization (e.g., Tableau)
analytic automation (e.g. scripting, macros) preferred
Demonstrated attention to detail
delivering quality results and operating collaboratively as part of a team
Experience in managing technology-related projects with vendors
Proven success in managing people and achieving business goals and objectives
Ability to develop strong working relationships and to influence key internal constituents
Documented strength in analysis, identification of problems, and problem resolution
Proven track record of meeting timelines, deliverables, attention to detail and quality results
Strong organizational skills with ability to work under pressure
multitask and prioritize workload
Ability to identify, communicate, and manage risk
Effective presentation, facilitation, project management and planning skills

Associate Director, Risk Adjustment Data and Analytics

Key skills