Details: -Data analysis-Evaluating risk and opportunities-Participation in client relationships-Designing and running complex data programs-Performing both standard and ad hoc processes-Responsibilities may also include calculation of reserves, development of program rates and forecasting/trend analysis.-Coordinate with internal business units to perform data reconciliation and ensure integrity of the data for operations to conduct audits -Perform financial and claim analysis at provider level -Analyze trends and audit validation rate for prospective program -Evaluating financial impact and scenario analysis of retrospective and prospective operationsResponsible for analyzing Medicare risk adjustment data and forecasting change in revenue and risk adjustment scores with a focus on specific programs performed by OptumInsight for its clients. Must have good written and verbal communication skills and be able to work well with a team. Needs to have excellent time management and multitasking skills and be able to work under the pressure of multiple deadlines. Will need to enjoy thinking outside of the box and continually consider new ideas and methodologies in an effort to refine forecast and projection models. This position works within a team and the ideal candidate can be relied upon to perform his/her own functions and also feel comfortable relying on others.
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