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Market Success analyst
Agilon Health
posted 2mon ago
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Job Description
Company : AHIPL Agilon Health India Private Limited Job Posting Location : India_Bangalore Job Title : Market Success analyst Job Description : Location : India_Bangalore
ob Description
The following duties and responsibilities generally reflect the expectations of this position but are not intended to be exhaustive.
- Diagnose & Debug escalations tied to data in the data lake, Minerva (our clinical platform), agilonhub and/or CORE
- Design and Develop Risk Adjustment related reports in Sigma.
- Develop debug scripts in SQL that is based on Medicare CMS Risk model.
- Perform analysis and dashboarding activities relating to: risk score calculation, claims/encounters data submission, chart review programs and audits, and related performance metrics.
- Calculate ROI analysis for various risk adjustment programs.
- Analysis and reporting on CMS data such as MMR and MOR received through various health plans.
- Communicate and collaborate with internal and external stakeholders on risk adjustment related analysis, knowledge, or both.
- Generate target population list for retrospective and prospective programs.
- Generate program files as per vendor data layout.
- Stay updated and share knowledge on industry changes especially any changes on CMS side (changes like ICD10, EDS, Payment Model Changes)
Qualifications:
- 7 years of experience in Healthcare Analytics.
- 2+ years working with Medicare Claims, MMR, MOR, and RAPs data
- Experience with healthcare claims, enrollment, and pharmacy data is preferred.
- Strong command on SQL Server (T-SQL), SSIS and SSRS, and Database design. BI /Looker/Tableau/Sigma experience would be a plus.
- Understanding of Medicare Risk Adjustment Payment Model and Cycle including the knowledge base to calculate risk scores would be a plus.
- BS in a quantitative discipline such as finance, economics, or mathematics desired.
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Employment Type: Full Time, Permanent
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Flexible timing
Monday to Friday
No travel
Day Shift
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