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Risk Adjustment Implementation Analyst
| Company | Horizon NJ Health |
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| Location | Princeton, NJ, USA |
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| Salary | $77900 – $104370 |
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| Type | Full-Time |
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| Degrees | Bachelor’s |
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| Experience Level | Mid Level |
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Requirements
- High School Diploma/GED required.
- Bachelor degree preferred or relevant experience in lieu of degree.
- Requires a minimum of 3 years of experience in consulting or health care field or relevant field.
- Experience navigating matrix organizations.
- Experience working with and presenting to senior audiences is a plus.
- Proficiency in Microsoft Office tools; Expert knowledge of PowerPoint.
Responsibilities
- Analyze key industry trends to develop a strategic point of view on current market position and the impact on specific projects and goals.
- Analyze existing risk adjustment processes and workflows, data and reporting, identify key individuals, and suggest opportunities for improvement.
- Create roadmaps for initiatives by assessing the business value, creating the plan and driving the appropriate execution and governance.
- Contribute to strategy development, analysis, and planning for achieving business growth and other strategic initiatives related to risk adjustment or risk adjusted lines of business.
- Monitor the long-term effects of strategies or initiatives put in place by the Risk Adjustment team.
- Support the development of standard operating procedures and documentation for the risk adjustment department, including cataloging, developing, and maintaining existing processes.
- Conduct research on market trends, new industry trends, legislative impacts, and other areas of impact on Risk Adjustment.
- Collaborate with internal partners to identify, develop, and execute deliverables supporting risk adjustment strategies.
- Assist with the implementation and reporting on the Risk Adjustment department’s strategic initiatives.
- Prepare analysis output, insights, and reporting for Risk Adjustment leadership presentations.
- Maintain an understanding and knowledge of the risk adjustment process, including regulatory changes impacting the program.
Preferred Qualifications
- Strong research skills.
- Ability to manage multiple projects through planning, organizing, and independently following logical priorities independently.
- Ability to recognize strategic needs, contribute to planning with research-based business recommendations, and generate alignment.
- Ability to work and collaborate with various levels of the organization.
- Solid understanding of management frameworks.
- Sound knowledge of financial or data analysis.
- Creative and strategic thinking.
- Excellent written and verbal communication.
- Strong communication and presentation skills.
