Senior Analyst, Risk Adjustment

About Our Company

We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Job Description

EMPLOYER: Village Practice Management Company, LLC DBA VillageMD

JOB POSITION: Senior Analyst, Risk Adjustment

LOCATION: 1 Diamond Hill Road, Berkeley Heights, NJ 07922

PAY RANGE: $73,008 - $120,000 per year

DUTIES:

• Operate as a cross-market analytical consultant to internal stakeholders focusing on our Medicare Advantage risk adjustment activity and supplemental submission process.

• Develop operational dashboards helping drive risk adjustment initiatives across all major payers and markets.

• Support ad hoc analyses for market leaders providing insights critical to employer success.

• Perform data cleansing to identify erroneous data and initiate corrections needed.

• Collaborate with other teams in analytics to develop and implement databases, processes and other strategies that optimize efficiency and quality.

• Develop Tableau dashboards. Establish initial logic and data sources for reconciling different data sources to the outbound submission and queued data.

• Resolve errors arising in the supplement submission for enhancing the accuracy and completeness of supplemental process.

• Review production logic versus suspect logic of the Hierarchical Condition Categories (HCCs), identifying and sizing gaps for potential revenue impact.

• Utilize various skills and technologies including, but not limited to: SAS, SQL, R, SPSS, Risk Adjustment Processing System (RAPS), 837/5010 files, MAO-001/ MAO-002/ MAO-004 files file formats, Facets.

• Position may telecommute from anywhere in the U.S.

REQUIREMENTS: This position requires at least a Master's degree in Statistics, Mathematics, or a closely related field and at least three (3) years of experience in healthcare data analysis (any title) performing analysis for risk adjustment, creating dashboards, performing Hierarchical Condition Categories (HCC) reconciliation, improving existing processes and codes, and utilizing SAS, SQL, Risk Adjustment Processing System (RAPS), 837/5010 files, MAO-001/MAO-002/MAO-004 files file formats, and Facets. Position may telecommute from anywhere in the U.S.

For Colorado Residents only: This is an exempt position. The base compensation range for this role is $73,008 - $120,000. At VillageMD, compensation is based on several factors including but not limited to education, work experience, certifications, location, etc. The selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan.

About Our Commitment

Total Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD's benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

Safety Disclaimer

Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.