SUMMARY: The Principal Analyst is responsible for planning, organizing, directing, implementation, and leading department assignments with minimal direction from leadership. This position operates within broad objectives to ensure optimum utilization relative to Risk Adjustment for Prospective and Retrospective programs. This role researches, compiles, and analyzes appropriate and relevant data to identify opportunities to recommend and drive executionof process efficiencies in assigned market teams to achieve targeted levels of improvement in key operational performance metrics. RESPONSIBILITIES/TASKS: * Responsible for the development and delivery of multiple concurrent projects/programs that encompass business process design and improvement specific to Risk Adjustment programs and performance. * Evaluate project performance and identify value drivers for Risk Adjustment initiatives and programs. * Develop processes to calculate and automate KPI's specific to Risk Adjustment as well as effectively communicate KPI's to internal stakeholders * Assists in monitoring initiatives, outcomes, and objectives to ensure goal attainment within defined parameters with minimal guidance from leadership. * Designs, develops, tests, and delivers solutions comprising of components, reports, and data stores per requested deliverable directions with minimal guidance from leadership. * Provides expertise in analytical methodology, including data analysis, used to facilitate data driven decision making, including the collection and monitoring of metrics used to assess, prioritize, and select improvement projects. * Initiates and leads problem solving efforts working closely with internal and external stakeholders. * Possesses and maintains an extensive comprehensive knowledge of Medicare Advantage Risk Adjustment business, products, programs to support overall strategy for accurate patient assessment relative to chronic conditions for overall model of care. * Manages and monitors multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters and timelines. * Develops lines of communication to discuss/review results of analysis to management via reports/presentations and assists management in implementing programs that provide solutions. * Independently develops and plans reports, papers, and/or other materials in a clear and concise manner. * Acts as a liaison between corporate business areas and participates in group or market discussions. This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. EMPLOYMENT QUALIFICATIONS: EDUCATION: Bachelor's degree in Business Administration, Economics, Health Care, Information Systems, Statistics, or a related field. Master's degree in a related field is preferred. Relevant combination of education and experience may be considered in lieu of degree. EXPERIENCE: Seven years experience in a related field, typically in two subject areas (e.g. process improvement, project planning, health care economics, health care policy, statistical modeling, business decisions, analysis, Medicare risk adjustment or business management). SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: * Excellent analytical, planning, problem solving, verbal, and written skills to communicate complex ideas. * Excellent organization skills and ability to effectively multi-task in a dynamic and fast paced environment. * Ability to lead and facilitate cross functional teams and team meetings. * Working knowledge of project management disciplines and methods. * Excellent execution in a fast-paced environment with tight deadlines. * Excellent knowledge and use of existing software packages such as Tableau, Access, PowerPoint, Excel, Word, etc. * Excellent knowledge of data languages such as SQL, .net, T-Sql, SAS, HTML, java, VBA, etc. * Excellent analytical, organizational, planning, and problem-solving skills. * Excellent ability to speak effectively before groups of customers or employees of organization. * Excellent ability to define problems, collect data, establish facts, and draw valid conclusions. * Excellent ability to develop project management, meeting process, and presentation skills. * Excellent ability to work independently, within a team environment, and communicate effectively with employees and clients at all levels. WORKING CONDITIONS: Work is performed in an office setting with no unusual hazards. The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description. PAY RANGE: "Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $88,600 and $148,500." The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description. We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an \"at will\" basis. Nothing herein is intended to create a contract. #LI-CH1
