Risk Adjustment Execution and Enablement Manager, Analytics & Reporting - Hybrid

hcsc; United States; Hybrid; USD 102,000 - 184,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a leader for Risk Adjustment Execution & Enablement in Chicago or Richardson. The role drives analytics and reporting on health data, guiding a team of analysts to deliver insights that shape risk adjustment programs.

The position requires building strong relationships with customers and stakeholders, managing large-scale data operations, and mentoring teams in quantitative methods and data analysis.

Qualifications

• Bachelor and 3 years' experience presenting analytics results/insights to audiences at different levels OR 6 years analytics experience.
• 4 years' experience in data analysis and information reporting.
• 1 year leadership and/or supervisory experience
• Experience with negotiation, decision making, organizational, and analytical skills.

Responsibilities

• Lead analytical and reporting tools and healthcare data sets to produce insights that improve the division's business.
• Oversee large-scale medical record retrieval operations and data processing.
• Coordinate with internal partners and external vendors to support risk adjustment programs.
• Develop the team’s analytical capabilities and knowledge of analytical methods and statistics.

Skills

Analytical leadership

Stakeholder communication

SQL & SAS experience

Teradata or similar

Problem solving

PC skills: Excel, Access, PowerPoint

Negotiation & decision making

Interpersonal skills

Education

Bachelor's degree

Math/Statistics/Actuarial preferred

Tools

SQL

SAS

Teradata

Alteryx

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

As a member of the Risk Adjustment Execution & Enablement team, this position is responsible for managing analytical and reporting tools and healthcare data sets to produce valuable insights that improve the quality of the division's business. This role will gain a deep understanding of medical records, claims, and eligibility data in order to plan, manage, and control the activities of a team of analysts that provide reporting, insights, and analytics in support of division data needs. The position is accountable for leading large-scale medical record retrieval operations, overseeing the storage, movement, processing, and analysis of high-volume healthcare data, and coordinating efforts with internal partners and external vendors to support risk adjustment programs. This leader will develop the team's analytical capabilities, impart knowledge of analytical methods, research, and statistics used in quantitative data analysis, identify opportunities to leverage new data sets, tools, and methodologies, and work closely with customers and stakeholders to build and sustain strong relationships.

JOB REQUIREMENTS:

• Bachelor and 3 years' experience in presenting analytic results/insights to audiences at different levels OR 6 years analytics experience;
• 4 years' experience in data analysis and information reporting;
• 1 years leadership and/or supervisory experience
• Experience with negotiation, decision making, organizational, and analytical skills;
• Interpersonal skills including but not limited to verbal and written communication;
• PC experience to include Access, Excel, Word, and PowerPoint.
• SQL, SAS and Teradata or other reporting tools / languages experience.
• Initiative to solve complex problems; takes an outside in perspective to identify innovative solutions.

PREFERRED JOB REQUIREMENTS:

• Bachelor degree in mathematics, actuarial science, statistics.
• Experience working with the Medicare, Part D Prescription Drug, Medicare Advantage Programs, or ACA
• Experience with healthcare data, including medical records, claims, eligibility data, and PHI.
• Knowledge of ACA and/or Medicare Advantage (MA) Risk Adjustment.
• Experience with medical record retrieval and healthcare data operations.
• Proficiency in SQL and querying large datasets.
• Experience with Teradata and Alteryx.
• Experience managing vendor relationships and cross-functional initiatives.
• Experience working with large-scale data storage, processing, and file management.

Locations: Chicago, IL or Richardson, TX

Schedule: This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

Sponsorship: Sponsorship is not available

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$102,000.00 - $184,300.00

Exact compensation may vary based on skills, experience, and location.