The Data Scientist supports analytic activities for optimizing risk adjustment revenue through closing gaps in coding and care delivery across Neighborhood Health Plan of Rhode Island’s Medicare and Individual/Small Group Exchange population as prescribed by Center for Medicare and Medicaid Services, Department of Health, Health and Human Services or other State and Federal Regulatory Agencies.
Specifically, this position is a high-level technical expert responsible for business intelligence and analytics related to Enterprise Risk Adjustment. This position uses business intelligence, analytic, and data science techniques to improve risk adjustment results for these populations. This includes obtaining data from various internal sources, understanding relevant differences between each data source, designing and structuring files for analysis, and performing and interpreting descriptive, bivariate, and multivariate analyses. This position also will also be responsible for designing, conducting, and communicating analytics and research projects that support Enterprise Risk Adjustment. This position will be expected to lead and mentor junior analysts.
Content areas for this position will span:
The Data Scientist assumes a technical leadership role to analyze complex data and information to provide meaningful results, identify success factors and improvement opportunities, suggest potential solutions, and help internal customers set strategic directions. The position should bring proven data analytics and leadership skills and a spirit of creativity and problem-solving to deepen insights into the factors that drive health care quality. The incumbent filling this position must be highly skilled from project design through implementation and have strong communication skills and will work collaboratively in a team environment, often in leadership roles.
Job Specific Competencies:
In the role of business lead for assigned FDR; incumbent is responsible to complete comprehensive oversight and monitoring of their vendor that incorporates the following elements: efficient and effective operations; compliance with laws, regulations, policies, procedures; and other company performance issues designed to reduce risk and add value to the company
Flexible Work Arrangement:
Neighborhood is an Affirmative Action and Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, genetic information, age, disability, veteran status or any other legally protected basis.
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