Risk Adjustment Strategy Consultant
Elevance Health

Job Info

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Risk Adjustment Strategy Consultant

Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health Pulse Point locations.

Preferred Location: Indianapolis, IN.

The Risk Adjustment Strategy Consultant is responsible for serving as an expert in data analysis, reporting and formulating recommendations and providing guidance to further the risk adjustment program for Group Retiree Services.

How you will make an impact:

• Analyzes data and summarizes performance using summary statistical procedures.
• Develops and analyzes business performance reports (e.g., risk adjustment scoring by major groups, operational performance metrics) and provides notations of performance deviations and anomalies.
• Creates and publishes periodic reports, any necessary ad hoc reports, and presenting to management.
• May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.
• May make recommendations based upon data analysis.
• Provides analytic consultation to other business areas, leadership or external customers.
• Data analysis and reporting encompasses a much higher level of complexity.

Minimum Requirements:

Requires a BS/BA degree in related field and a minimum of 5 years' experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• Risk Adjustment experience preferred.
• Strong analytical, organizational, presentation, and problem-solving skills strongly preferred
• Project management experience in a matrix environment preferred
• Ability to manipulate large sets of data and knowledge of query toots strongly preferred.

If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.

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