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Healthcare Risk Analyst
Healthcare Risk AnalystMVP Health Care • Rochester, NY, United States
Healthcare Risk Analyst

Healthcare Risk Analyst

MVP Health Care • Rochester, NY, United States
3 hours ago
Job type
  • Full-time
Job description

Join MVP Health Care on our mission to create a healthier future for everyone through innovative thinking and continuous improvement. We are seeking a Healthcare Risk Analyst to be a vital part of #TeamMVP. If you have a passion for analytics, reporting, and healthcare, this could be the perfect opportunity for you!

What We Offer You :

  • Opportunities for career growth and development.
  • A people-focused culture that embraces and celebrates diverse perspectives, backgrounds, and experiences.
  • Competitive compensation and comprehensive benefits emphasizing well-being.
  • The chance to impact the future of healthcare by joining a team recognized as a Best Place to Work For in the NY Capital District and one of the Best Companies to Work For in New York .

Qualifications You Bring :

  • Bachelor's Degree in Health Administration, Business, Economics, Health Informatics, or a related field.
  • At least 1 year of experience in a health insurance or business environment analyzing financial or large data sets (Master's Degree may be considered in lieu of experience).
  • Strong problem-solving and analytical skills with a proven ability to analyze, report, and provide insights on large data sets.
  • Intermediate skills in SQL.
  • Ability to manage multiple projects and deliver results on time while simplifying complex analytical outputs.
  • Intermediate proficiency in Word for creating complex documents with tables and graphs.
  • Intermediate skills in Microsoft Excel for data manipulation and visualization.
  • Data visualization skills using tools like Tableau or Power BI.
  • A curiosity for innovation and a commitment to collaborative teamwork.
  • A dedication to enhancing customer experiences in every interaction.
  • Your Key Responsibilities :

  • Perform analytics and reporting for Medicare, Commercial Exchange, and Medicaid / HARP member populations.
  • Provide analytical support for population health management focusing on Risk Adjustment initiatives.
  • Design targeting strategies using various data sources to identify members with potential risk gaps.
  • Regularly report on Risk Adjustment programs while identifying opportunities and challenges.
  • Measure capture rates of Hierarchical Condition Categories (HCCs) and diagnosis codes to optimize Medicare and Commercial Exchange program targeting.
  • Utilize Clinical Risk Group (CRG) software to enhance coding for Medicaid members and calculate ROI for programs.
  • Maintain compliance with CMS and NYS regulatory requirements related to supplemental data.
  • Contribute to our shared goal of enhancing healthcare delivery and making a difference for our customers.
  • Location : Virtual within New York, hybrid preferred.

    Pay Transparency : MVP Health Care is committed to providing competitive compensation and benefits. Our base pay range reflects our good faith estimate at the time of posting, considering factors such as geographic location, relevant experience, education, and the nature of the role.

    MVP's Inclusion Statement : At MVP Health Care, we strive to create a workplace that fosters diversity and inclusion, allowing every individual to thrive. Our collective curiosity and unique perspectives fuel our creativity and collaboration.

    MVP is an equal opportunity employer and promotes recruitment, training, and employment without discrimination on any basis.

    To support a safe, drug-free workplace, we conduct pre-employment criminal background checks and drug testing. If you need accommodations during the application process due to a disability, please contact our Talent team.

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    Risk Analyst • Rochester, NY, United States

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