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Associate Director, Risk Adjustment Data and Analytics at Blue Cross Blue Shield of Massachusetts - ApplyBlast

Associate Director, Risk Adjustment Data and Analytics

Blue Cross Blue Shield of Massachusetts

4 months ago

3.1 on Glassdoor

Boston, United States

Onsite

Full Time

Senior

0 applicants

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About this role

The Director of Risk Adjustment Data and Analytics leads the Medicare and merged market analytic plans, overseeing reporting, data management, and system infrastructure to meet business objectives and CMS regulations. This senior role involves strategic partnership with actuarial and contracting teams, vendor management, and driving performance improvements through advanced analytics and team mentorship.

Responsibilities

Lead Risk Adjustment Performance and Strategic Analytics Teams
Design metrics and dashboards to drive strategic decisions
Manage external vendors and optimize data systems
Oversee CMS Encounter Data submission and error resolution
Mentor analytics staff to enhance subject matter expertise

Skills

Qualifications

Bachelor's DegreeMaster's Degree7+ years Medicare Risk Adjustment Experience5+ Years Leadership Experience

About Blue Cross Blue Shield of Massachusetts

bluecrossma.org

Headquarters

Boston, Massachusetts, United States

Company Size

1001-5000 employees

Founded

1937

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Blue Cross Blue Shield of Massachusetts brings health insurance plans, medical claims, insurance coverage, benefits and telehealth via MyBlue Web & App