What are the responsibilities and job description for the AWS Audit/Risk Analyst position at Saxon Global?
Must haves :
Great communication
Experience working within healthcare industry
Hands on experience creating dashboards themselves
SQL Querying, DB2 exp
Experience with Alteryx, Salesforce, or Tableau
This position is remote in the following states : Alabama, Georgia, Mississippi, Florida, Tennessee, Kentucky, South Carolina, North Carolina, Virginia, and West Virgina.
Our client is looking for a Risk Adjustment Analyst to join their team! You will be responsible for supporting and developing the quality improvement, risk adjustment and / or plan performance processes!
This position is remote in the following states : Alabama, Georgia, Mississippi, Florida, Tennessee, Kentucky, South Carolina, North Carolina, Virginia, and West Virgina. If you live in another state, we will check with their HR to see if you qualify.
What you'll do :
Monitor and report quality, risk and / or performance indicators, identification of opportunities for improvement, conducting qualitative barrier analysis, collaborating with business areas to identify strategies for improvement and monitoring impact of initiatives.
Monitor outcomes of key indicators including health status, health outcomes, member experience and operational metrics and have an in-depth knowledge of regulatory requirements.
Work collaboratively with the internal team to support research and analysis and incorporates policies and practices to ensure execution of a sound program to maintain integrity of internal procedures.
Establish and maintain partnerships with business areas and key personnel.
Provide guidance to the Quality Management / Plan Performance Analyst position.
Skills needed for success :
Top must haves : SQL querying, risk adjustment experience in healthcare, dashboard creation, and great communication
Bachelor's Degree
Minimum of 3 years of experience within the healthcare field
Experience with project management and continuous improvement, along with organizational and analytical skills in order to independently identify and evaluate opportunities for improvement related to Key Quality Indicators (KQIs)
Demonstrated proficiency in SQL or other programming languages preferred
Proficient with Crystal Reports, analytic, visualization, and / or ETL tools (such as SAS, Tableau, Alteryx) preferred
Provide support on complex project scopes and assist in the creation of work plans to achieve the objectives of projects
Experience developing objectives, setting goals and facilitating plans to achieve desired results
Experience working with management to determine priorities and planning that support direction of a division
Willingness to travel as required for training, collaboration and education purposes
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