Medical Informatics Analyst, Consultant
About The Position
The AI & Analytics (AI&A) team sits within the enterprise Growth organization, specifically aligned to the Risk Adjustment vertical. While situated within Risk Adjustment, this is strictly an advanced Medical Informatics and data architecture role. The Consultant will serve as a critical semantic bridge and analytical lead supporting the Individual & Family Plan (IFP) Line of Business under the Government Markets Organization. Reporting to the Sr Manager of Medical Informatics, this role is responsible for acting as an AI & Analytics partner to key leaders and cross-functional stakeholders across IFP, Actuarial, HQA, Network Operations, and Finance to achieve their Growth-related business objectives. The successful candidate will act as "two-in-a-box" collaborator to share LOB Membership Retention & Growth goals, and Covered CA regulatory reporting, translate complex business problems into structured analytical approaches, design smart analytical tools, and leverage internal data structures to uncover CoHC optimization and member acquisition opportunities.
Requirements
- Advanced Medical Informatics and data architecture role.
- Experience supporting the Individual & Family Plan (IFP) Line of Business under the Government Markets Organization.
- Experience acting as an AI & Analytics partner to key leaders and cross-functional stakeholders.
- Experience translating complex business problems into structured analytical approaches.
- Experience designing smart analytical tools.
- Experience leveraging internal data structures.
Responsibilities
- Serve as a critical semantic bridge and analytical lead supporting the Individual & Family Plan (IFP) Line of Business under the Government Markets Organization.
- Act as an AI & Analytics partner to key leaders and cross-functional stakeholders across IFP, Actuarial, HQA, Network Operations, and Finance to achieve their Growth-related business objectives.
- Act as "two-in-a-box" collaborator to share LOB Membership Retention & Growth goals, and Covered CA regulatory reporting.
- Translate complex business problems into structured analytical approaches.
- Design smart analytical tools.
- Leverage internal data structures to uncover CoHC optimization and member acquisition opportunities.
Benefits
- Lowering costs
- Improving quality
- Enhancing the member and physician experience
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
