Overall PurposeThe Market MRA Analyst works closely vendor partners, health plans & designated market team to build member level insights to inform strategic market interventions. This position requires someone who is adept at problem solving, seeing the big picture and the ability to communicate effectively with internal & external constituents.
Essential Functions- Dashboard Development & Maintenance
- Work with vendors and internal teams on ensuring accuracy of data being presented
- Ensure continued evolution of dashboard development both externally and internally
- Continuously monitor dashboards for assigned market for insights to performance improvement
- Strategic Initiative Guidance
- Respond to requests for analysis and provide analytic support to the Market Leaders
- Work with vendors and markets to approve and manage target lists for Chart Reviews
- Monitor the performance of the Prospective program to identify areas for improvement
- Work with Market teams and MRA leadership to identify strategies to implement In Home Assessment initiatives
- Identify provider education opportunities based on coding results, queries, prospective performance and/or prevalence
Knowledge, Skills and Abilities- Proficiency in SQL
- Strong communication and strong written skills as well as proficiency with Microsoft Power Point
- Working knowledge of the provider-based healthcare industry, claims processing, provider billing or Risk Adjustment or Medicare Advantage strongly preferred
- Self-motivated, creative problem solver who can work independently, see the bigger picture and collaborate through strong communication and interpersonal skills
- Strong project management experience and ability to handle multiple projects in a fast-paced environment.
Experience- At least 5 years previous work experience within risk adjustment.
Education- Bachelor's degree from an accredited institution.
Travel Details- Periodic travel to Corporate Headquarters
- Ad hoc travel to Markets or other partner locations
