Senior Informatics Manager, Risk Adjustment Analytics

• Evaluate health plan performance using advanced analytics to identify trends, gaps, and opportunities across Medicaid populations
• Design and execute complex analyses leveraging medical and pharmacy claims, encounter, provider, and membership data
• Translate analytical findings into clear, actionable insights to drive health plan strategies and decision-making
• Develop and maintain scalable reporting, dashboards, and performance monitoring tools
• Support development of data models, forecasting approaches, and performance measurement frameworks
• Ensure data accuracy, integrity, and governance across reporting and analytical outputs
• Identify and implement process improvements through automation and advanced analytics
• Communicate complex findings effectively to both technical and non-technical stakeholders
• Support compliance with CMS and state Medicaid requirements through accurate, timely reporting and analysis

Requirements

• 8+ years of relevant professional experience in healthcare analytics, including working with claims and encounter data
• 2+ years of leadership experience managing, coaching, or mentoring team members
• Experience with government-regulated healthcare programs (Medicaid, Medicare, and/or ACA)
• Advanced technical skills in Google Cloud Platform (GCP)/Big Query, SQL, SAS, Python, or similar programming languages
• Demonstrated experience working with large, complex healthcare datasets and performing root cause analysis
• Proven ability to manage multiple projects and competing priorities in a fast-paced environment
• Strong ability to translate technical analyses into actionable business insights
• Excellent communication skills across technical and non-technical audiences