Director Medicare and Medicaid Risk Adjustment
Brigham and Women(1 month ago)
About this role
This role supports Mass General Brigham Health Plan’s risk adjustment programs by managing end-to-end data processes, submissions, and analytics. The position focuses on designing, building, and automating reporting, analysis, and financial models across systems to support Medicare and Medicaid risk adjustment initiatives. It partners across business units to ensure data integrity and drive insights for program performance and financial outcomes.
Required Skills
- Risk Adjustment
- Data Management
- Data Modeling
- Data Governance
- SQL
- SAS
- Predictive Modeling
- Financial Modeling
- Encounter Submissions
- Dashboarding
+2 more
Qualifications
- Bachelor's Degree
- Master's Degree
- Certified Risk Adjustment Coder (CRC)
About Brigham and Women
brighamandwomens.orgBrigham and Women’s Hospital is one of the top hospitals in America with more than 790 beds, and a premier teaching hospital of Harvard Medical School. Learn more.
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