Company:AHIPL Agilon Health India Private Limited
Job Posting Location:India_Bangalore
Job Title: Market Success analyst
Job Description:
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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Location: India_Bangalore
Top Skills
What We Do
agilon health is transforming health care for seniors by empowering primary-care physicians to focus on the entire health of their patients. Through our platform and partnership model, agilon health is leading the nation in creating the system we need – one built on the value of care, not the volume of fees. We honor the independence of local physicians and serve as their long-term partner so they can be the physicians they trained to be.
agilon is built for physicians by physicians, as the patient-physician relationship is the cornerstone of care. We allow primary care physicians to take the long view of their relationships with patients, and to be confident in the long-term financial viability of their own practices. We do this through a Total Care Model that maintains the independence of physicians; unites them in a network of like-minded leaders; and integrates all of the components of a global risk business model into a single platform.
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