Manager, Medicare Advantage Analytics & APCD Reporting

Point32Health, Inc.; United States; Vor Ort; USD 120.000 - 160.000; Vollzeit

Zusammenfassung

Point32Health, Inc. is seeking a Manager of Reporting and Analytics - Medicare Advantage who will apply advanced business, analytical, technical, and leadership skills to ensure the accuracy, completeness, and integrity of risk adjustment data submissions to CMS.

This role will optimize risk score accuracy and support revenue performance across all Medicare Advantage products, with oversight of APCD reporting to six state agencies.

Aufgaben

• Oversee Medicare Advantage and APCD data submissions, governance, and reporting to ensure accuracy and compliance.
• Collaborate with Actuarial, Claims, Membership Operations, IT and vendors; coordinate APCD submissions with six state agencies.
• Oversee CMS submissions for multiple products and APCD reporting; ensure data quality and remediation of issues.

Jobbeschreibung

Point32Health, Inc. is seeking a Manager of Reporting and Analytics - Medicare Advantage who will apply advanced business, analytical, technical, and leadership skills to ensure the accuracy, completeness, and integrity of risk adjustment data submissions to CMS.

This role will optimize risk score accuracy and support revenue performance across all Medicare Advantage products, with oversight of APCD reporting to six state agencies.