Director of Medicare Risk Adjustment Analytics and Reporting

Job Description

Director of Medicare Risk Adjustment Analytics and Reporting

Location : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance Health PulsePoint locations.

The Director of Medicare Risk Adjustment Analytics and Reporting is responsible for planning, directing and controlling the resources and efforts of reporting and data analysis team to accomplish the company objectives through information management.

How You Will Make an Impact :

• Obtains resources (people, funding, material, support) to support business unit information needs and strategic initiatives.
• Provides leadership in motivating subordinates to accomplish reporting and data analysis goals and objectives.
• Develops a strong team through training and effective organizational development practices.
• Reports project status and progress to business unit senior management.
• Ensures accuracy and timeliness of output and deliverables for assigned functional areas.
• Implements the policies, practices, and procedures of the company and business units supported.
• Has fiscal responsibility for area budgets.
• Establishes relationships with business users both internal and external.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.
• Oversees entire reporting / analysis / consulting unit or all aspects of a centralized function.
• Participates with other executives to establish strategic plans and objectives.
• Makes final decisions for IM function at the business unit level and ensures operations' effective achievement of objectives.
• Coordinates project management across department & divisional line.
• Ability to communicate with customers about technical issues in non-technical terms.
• Understands the business processes that the system supports.

Minimum Requirements :

Requires Bachelor's degree and 10+ years experience leading project teams, or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences :

• Knowledge of IM technologies, organizational structure, and customer information needs preferred.
• 10+ years of experience in risk adjustment and data analytics preferred.
• Experience with SAS, SQL, Python, R, or similar tools / languages strongly preferred.
• Prior leadership or management experience strongly preferred.
• Effective communication skills, including facilitation, consultation, negotiation and persuasion preferred.
• Experience with multiple risk adjustment models (MA, ACA, Medicaid) and markets preferred
• Familiarity with Star and other quality incentive programs preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $136,584 to $234,144.

Locations : California; Colorado; District of Columbia (Washington, DC); Nevada; New York; Washington State.

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.

The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting.

This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.

Even within the range, the actual compensation will vary depending on the above factors as well as market / business considerations.

No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans.

The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level : Director

Director

Workshift : Job Family :

Job Family : RDA >

RDA >

Reporting & Data Analysis

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.

Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.

Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.

Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19.

If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process may contact for assistance.