Job Title: Director of Risk Management and Business Analysis
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* Job Description:
* We are seeking a highly motivated and analytical professional to join our team as a Director of Risk Management and Business Analysis. This role will play a pivotal part in driving operational excellence across our global risk adjustment coding program.
Key Responsibilities:
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1. Establish robust data gathering processes and leverage your analytical expertise to identify trends, predict potential issues, and develop data-driven solutions for continuous program optimization.
2. Partner closely with operations, business, and compliance partners to analyze data, identify trends, and translate complex information into actionable insights.
3. Collaborate with analysts across the globe, fostering knowledge sharing and ensuring alignment on improvement initiatives.
4. Proactively identify opportunities for improvement, develop and implement effective solutions, and measure the impact of new processes.
5. Manage and drive cross-functional projects related to process improvement and tool implementation.
6. Deliver data-driven presentations and reports to clearly communicate insights and recommendations to senior leaders.
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Requirements:
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* Advanced Microsoft Office skills including Excel and PowerPoint.
* Ability to navigate complex structures, influence stakeholders, and drive results.
* Data-Driven Problem Solver experience, including leveraging data analysis techniques (e.g., statistical analysis, data mining) to identify trends, root causes, and opportunities for improvement in coding processes.
* Ability to utilize problem-solving frameworks (e.g., DMAIC, Root Cause Analysis) to guide effective improvement initiatives.
* Project Management experience, including proven track record of successfully managing and executing projects on time and within budget.
* Ability to leverage data analysis and project management tools to optimize program execution.
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Preferred Qualifications:
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* Process Improvement Certification - Lean Six Sigma, etc.
* Bachelor's Degree in Business Administration, Finance, Accounting, Engineering or a related field.
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What We Offer:
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* A dynamic and collaborative work environment.
* Ongoing training and development opportunities.
* A competitive salary and benefits package.
* The opportunity to make a meaningful contribution to the success of our organization.
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About Us:
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We are a global organization dedicated to improving health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.