• Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role.
United States Jobs Expertini

Manager, Statistical Analysis and Risk Adjustment Job Opening In New York – Now Hiring Visiting Nurse Service of New York


Job description

Manager, Statistical Analysis and Risk Adjustment

Manhattan, New York Risk Adjustment
Apply Now Job ID R011800 Overview

Critical leadership role in the Analytics team responsible for all analytic activities for delivering insight used to optimizing clinical documentation programs and improve the quality of care on VNS members.

Leadership to develop an Analytics strategic plan and support business intelligence, analytic, and data science techniques to improve risk adjustment results, including 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.

Works under general supervision.

This position requires industry knowledge of risk adjustment analytic, data science and statistical methods to optimize operational processes.


Compensation:

$122,300.00 - $164,000.00 Annual

What We Provide

  • Referral bonus opportunities
  • Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
  • Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability
  • Employer-matched retirement saving funds
  • Personal and financial wellness programs
  • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
  • Generous tuition reimbursement for qualifying degrees
  • Opportunities for professional growth and career advancement
  • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
  • What You Will Do

  • A subject matter expert which is a strategic, analytical, critical thinking senior departmental leader overseeing and leading the risk adjustment analytics functions.
  • Develop, implement and manage comprehensive risk adjustment analytics strategy, which includes business intelligence reporting, financial forecasting, ROI analysis and Provider reporting.
  • Provides leadership with information to enhance risk adjustment processes and ensure accurate clinical documentation.

    Evaluate program effectiveness and performance by using statistical and economic methods
  • Provides analytic and measurement support to inform pilot test/intervention design; ensures rigor in outcomes evaluation; evaluates pilot tests/interventions with respect to gap closure and ROI; and informs decisions about pilot/intervention modification and scale-up.
  • This leader requires significant interaction with leadership at all levels of the organization, including internal leaders and external vendors and physician offices.

    They will work collaboratively and cross-functionally with Network, Operations, Product, IT and Finance in supporting risk adjustment operations.
  • Provides provider-focused analytics and reporting; provides summary report of provider performance on potential gaps in coding and care delivery.

    Identify opportunities to develop a bi-directional data process and EMR interoperability practices
  • Analyzes complex data and information to provide meaningful results, identify success factors and improvement opportunities, suggest potential solutions, and help internal customers set strategic directions.
  • Keeps abreast of current and new business content, regulatory knowledge, best practices, analytical methods and knowledge of diverse data sources-and systems necessary to support the efforts of Risk Adjustment analytics initiatives.
  • Communicates complex Risk Adjustment concepts, strategies, initiatives, analytics, and results to a variety of stakeholders, including senior leadership.
  • Reports results on risk adjustment-related outcomes, identifies needs and opportunities for improvement, and interprets results for stakeholders.
  • Develops and manages relationships with other analytic teams and leaders at VNS Health to share best practices across the organization.
  • Performs all duties inherent in a leadership role.

    Ensures effective staff training, interviews candidates for employment, evaluates staff performance, and recommends hiring, promotions, salary actions and terminations, as appropriate.

  • Qualifications
    Licenses and Certifications:
    SAS Certification or any certification I Advanced Analytics or Machine learning/Deep Learning or a related topic preferred

    Education:
    Bachelor's Degree Business, Finance, Actuarial Science, Quantitative Social Science, Mathematic, Statistics, Computer Science or a related field requiredMaster's Degree preferred

    Work Experience:
    Minimum of four years of progressive experience in healthcare or risk adjustment data analysis requiredExperience modeling data involving outcomes and utilization, using various statistical software and computer programming (SAS, SQL, R, etc.) requiredDemonstrated ability to evaluate quantitative data from multiple sources using statistical analysis and critical thinking skills requiredDemonstrated experience with statistical software suites (e.g., SAS, R, Stata), strong understanding of database structure, relational database concepts, and exposure to Unix environments requiredAbility to define problems, collect data, establish facts, and draw valid inferences requiredStrong problem-solving skills exhibited by the ability to approach complex, ambiguous business issues with creative ideas and solutions requiredDemonstrated strong communication, facilitation, and presentation skills requiredDemonstrated experience in collaboration, teamwork, and cross-functional communication requiredFamiliarity with health policy, health insurance, benefit plans and product features, provider contracting approaches, reimbursement approaches and health management approaches requiredDemonstrated strong organizational and project management skills, including the ability to handle multiple concurrent assignments requiredExperience programming using risk adjustment models for Medicare, computing risk scores and evaluation of risk scores output for quality preferredPrior experience in risk adjustment activities in a Medicare, Affordable Care Act or provider organization to including submission of Risk Adjustment Processing System (RAPS), and (Encounter Data Processing System (EDPS), responses and reconciliation per CMS and other State and Federal Guidelines preferredKnowledge of claims coding and payment methodology, associated with a Health Plan domain preferredBackground in CPT, HCPCS, and related Hierarchical Condition Coding (HCC) Methodologies preferred


    Required Skill Profession

    Other Management Occupations


    • Job Details

    Related Jobs

    CVS Health hiring Manager, Medicaid Risk Adjustment Job in United States
    CVS Health
    United States
    CVS Health hiring Manager, Medicaid Risk Adjustment Job in United States
    CVS Health
    United States
    Blue Cross and Blue Shield of Kansas City hiring Manager, Risk Adjustment Operations Job in Kansas City, Missouri, United States
    Blue Cross and Blue Shield of Kansas City
    Kansas City, Missouri, United States
    CVS Health hiring Manager, Medicaid Risk Adjustment Job in United States
    CVS Health
    United States
    Accenture hiring Risk Adjustment Senior Manager Job in Philadelphia, PA, United States
    Accenture
    Philadelphia, PA, United States
    Accenture hiring Risk Adjustment Senior Manager Job in Philadelphia, PA, United States
    Accenture
    Philadelphia, PA, United States
    Blue KC hiring Manager, Risk Adjustment Operations Job in Kansas City, MO 64105, United States
    Blue KC
    Kansas City, MO 64105, United States
    Visiting Nurse Service of New York hiring Risk Adjustment Analyst Job in New York, New York, United States
    Visiting Nurse Service of New York
    New York, New York, United States
    Ascension hiring Actuary - Risk Adjustment Job in Remote, Oregon, United States
    Ascension
    Remote, Oregon, United States
    GONZABA MEDICAL GROUP hiring Risk Adjustment Coder Job in San Antonio, Texas, United States
    GONZABA MEDICAL GROUP
    San Antonio, Texas, United States
    Millennium Physician Group hiring Risk Adjustment Supervisor Job in Fort Myers, Florida, United States
    Millennium Physician Group
    Fort Myers, Florida, United States
    ChenMed hiring Risk Adjustment Coder Job in Miami, FL, United States
    ChenMed
    Miami, FL, United States
    SGA Inc. hiring Risk Adjustment Coder Job in Greensboro, North Carolina, , United States
    SGA Inc.
    Greensboro, North Carolina, , United States
    Point32Health hiring Manager, Risk Adjustment Operations and Provider Consulting Job in Canton, Massachusetts, United States
    Point32Health
    Canton, Massachusetts, United States
    Kaiser Permanente hiring Manager, Risk Adjustment, Medical Coding Job in Pasadena, California, United States
    Kaiser Permanente
    Pasadena, California, United States
    MRO hiring Regional Operations Manager, Risk Adjustment Job in Norristown, Pennsylvania, United States
    MRO
    Norristown, Pennsylvania, United States
    CareFirst hiring Risk Adjustment Manager- Operations (Hybrid) Job in Baltimore, MD, United States
    CareFirst
    Baltimore, MD, United States
    CareFirst hiring Risk Adjustment Manager- Encounters (Hybrid) Job in Baltimore, MD, United States
    CareFirst
    Baltimore, MD, United States
    Marshfield Clinic hiring Risk Adjustment Revenue Manager (Remote) Job in Marshfield, WI, United States
    Marshfield Clinic
    Marshfield, WI, United States
    Kaiser Permanente hiring Manager, Risk Adjustment, Medical Coding Job in Pasadena, CA, United States
    Kaiser Permanente
    Pasadena, CA, United States
    Bryant Staffing Solutions hiring Senior Manager, Risk Adjustment Analytics Job in Denver, Colorado, , United States
    Bryant Staffing Solutions
    Denver, Colorado, , United States
    Fox Point Recruitment LLC hiring Sr Manager, Risk Adjustment Analytics Job in Denver, Colorado, United States
    Fox Point Recruitment LLC
    Denver, Colorado, United States
    Blue Cross and Blue Shield of Minnesota hiring Senior Director, Risk Adjustment and Quality Job in Eagan, Minnesota, United States
    Blue Cross and Blue Shield of Minnesota
    Eagan, Minnesota, United States
    HCA Healthcare hiring Director of Quality and Risk Adjustment Job in Campbell, CA, United States
    HCA Healthcare
    Campbell, CA, United States
    Capital One hiring Cyber Risk and Analysis Lead Job in Chicago, IL, United States
    Capital One
    Chicago, IL, United States
    Tufts Medicine hiring Risk Adjustment Consultant Remote Job in Medford, Massachusetts, United States
    Tufts Medicine
    Medford, Massachusetts, United States
    Reveleer hiring HCC Risk Adjustment Coder Job in remote, us, remote, us, United States
    Reveleer
    remote, us, remote, us, United States
    AdventHealth hiring Risk Adjustment Coding Auditor Job in Maitland, FL, United States
    AdventHealth
    Maitland, FL, United States
    UnitedHealth Group hiring Risk Adjustment Validation Auditor Job in Eden Prairie, MN, United States
    UnitedHealth Group
    Eden Prairie, MN, United States
    UnitedHealth Group hiring Risk Adjustment Validation Auditor Job in , US, United States
    UnitedHealth Group
    , US, United States
    UnitedHealth Group hiring Risk Adjustment Validation Auditor Job in Eden Prairie, MN, United States
    UnitedHealth Group
    Eden Prairie, MN, United States
    UnitedHealth Group hiring Risk Adjustment Validation Auditor Job in Eden Prairie, MN, United States
    UnitedHealth Group
    Eden Prairie, MN, United States

    Unlock Your Manager Statistical Potential: Insight & Career Growth Guide


    Real-time Manager Statistical Jobs Trends (Graphical Representation)

    Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph here. Uncover the dynamic job market trends for Manager Statistical in New York, United States, highlighting market share and opportunities for professionals in Manager Statistical roles.

    412694 Jobs in United States
    412694
    12806 Jobs in New York
    12806
    Download Manager Statistical Jobs Trends in New York and United States

    Are You Looking for Manager, Statistical Analysis and Risk Adjustment Job?

    Great news! is currently hiring and seeking a Manager, Statistical Analysis and Risk Adjustment to join their team. Feel free to download the job details.

    Wait no longer! Are you also interested in exploring similar jobs? Search now: .

    The Work Culture

    An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Visiting Nurse Service of New York adheres to the cultural norms as outlined by Expertini.

    The fundamental ethical values are:

    1. Independence

    2. Loyalty

    3. Impartiapty

    4. Integrity

    5. Accountabipty

    6. Respect for human rights

    7. Obeying United States laws and regulations

    What Is the Average Salary Range for Manager, Statistical Analysis and Risk Adjustment Positions?

    The average salary range for a varies, but the pay scale is rated "Standard" in New York. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    What Are the Key Qualifications for Manager, Statistical Analysis and Risk Adjustment?

    Key qualifications for Manager, Statistical Analysis and Risk Adjustment typically include Other Management Occupations and a list of qualifications and expertise as mentioned in the job specification. The generic skills are mostly outlined by the . Be sure to check the specific job listing for detailed requirements and qualifications.

    How Can I Improve My Chances of Getting Hired for Manager, Statistical Analysis and Risk Adjustment?

    To improve your chances of getting hired for Manager, Statistical Analysis and Risk Adjustment, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

    Interview Tips for Manager, Statistical Analysis and Risk Adjustment Job Success

    Visiting Nurse Service of New York interview tips for Manager, Statistical Analysis and Risk Adjustment

    Here are some tips to help you prepare for and ace your Manager, Statistical Analysis and Risk Adjustment job interview:

    Before the Interview:

    Research: Learn about the Visiting Nurse Service of New York's mission, values, products, and the specific job requirements and get further information about

    Other Openings

    Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.

    Dress Professionally: Choose attire appropriate for the company culture.

    Prepare Questions: Show your interest by having thoughtful questions for the interviewer.

    Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.

    During the Interview:

    Be Punctual: Arrive on time to demonstrate professionalism and respect.

    Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.

    Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.

    Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.

    Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.

    Follow Up: Send a thank-you email to the interviewer within 24 hours.

    Additional Tips:

    Be Yourself: Let your personality shine through while maintaining professionalism.

    Be Honest: Don't exaggerate your skills or experience.

    Be Positive: Focus on your strengths and accomplishments.

    Body Language: Maintain good posture, avoid fidgeting, and make eye contact.

    Turn Off Phone: Avoid distractions during the interview.

    Final Thought:

    To prepare for your Manager, Statistical Analysis and Risk Adjustment interview at Visiting Nurse Service of New York, research the company, understand the job requirements, and practice common interview questions.

    Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Visiting Nurse Service of New York's products or services and be prepared to discuss how you can contribute to their success.

    By following these tips, you can increase your chances of making a positive impression and landing the job!

    How to Set Up Job Alerts for Manager, Statistical Analysis and Risk Adjustment Positions

    Setting up job alerts for Manager, Statistical Analysis and Risk Adjustment is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!