Job summary
Job post source
This job is directly from L.A. Care Health Plan
Job overview
The Enterprise Risk Adjustment Analyst III at L.A. Care Health Plan plays a leadership role in managing risk adjustment data, reporting, and analytics to support business objectives and regulatory compliance.
Responsibilities and impact
The role involves serving as a subject matter expert, designing reports and analytics, collaborating with internal and external stakeholders, mentoring staff, monitoring operations for improvements, and ensuring compliance with regulatory changes in risk adjustment processes.
Compensation and benefits
The salary range is $88,854 to $142,166 with benefits including paid time off, tuition reimbursement, retirement plans, medical, dental, vision, wellness programs, and volunteer time off.
Experience and skills
Requires at least 5 years of risk adjustment experience with data and reporting, strong analytic and consultation skills, proficiency in SQL Server, Visual Studio, Oracle, Microsoft Access, Excel, and knowledge of risk adjustment processes across multiple business lines.
Career development
The position offers mentorship opportunities and involvement in process improvements, providing potential for growth within the Risk Adjustment department.
Work environment and culture
L.A. Care Health Plan values providing quality healthcare access to vulnerable communities and supports a collaborative environment focused on public health and regulatory compliance.
Company information
L.A. Care Health Plan is the largest publicly operated health plan in the U.S., serving over 2 million members in Los Angeles County with a mission to provide quality healthcare to low-income residents.
Team overview
The role works within the Enterprise Risk Adjustment department, collaborating with leadership, analysts, vendors, and regulatory agencies to support risk adjustment operations.
Job location and travel
The job is based in Los Angeles County, California, with no specific mention of remote work or travel requirements.
Unique job features
This role is distinguished by its leadership in data architecture and analytics for risk adjustment, acting as a chief architect and subject matter expert in a public health-focused organization.
Company overview
L.A. Care Health Plan is a public health insurance provider serving Los Angeles County, offering a range of health plans including Medi-Cal, L.A. Care Covered, and PASC-SEIU Homecare Workers Health Care Plan. Established in 1997, it is the largest publicly operated health plan in the United States, aiming to provide affordable and quality healthcare to underserved communities. The company generates revenue through government contracts and member premiums, reinvesting in community health initiatives and services. Key historical milestones include its expansion of services and partnerships to enhance healthcare accessibility and quality in the region.
How to land this job
Position your resume to highlight your expertise in risk adjustment data processing, reporting, and analytics, emphasizing your leadership in guiding teams and managing complex data architectures.
Focus on showcasing your ability to consult with senior management, recommend data-driven strategies, and your proficiency with SQL Server, Oracle, Visual Studio, and Excel as these tools are critical for the role.
Apply through multiple channels including L.A. Care Health Plan’s official careers page and LinkedIn to maximize your application’s visibility and ensure it reaches the hiring team effectively.
Connect with current employees in the Enterprise Risk Adjustment or Data Analytics divisions at L.A. Care Health Plan on LinkedIn; use ice breakers like commenting on recent regulatory changes in risk adjustment or asking about their experience with the department’s reporting tools.
Optimize your resume for ATS by incorporating keywords such as 'risk adjustment,' 'data processing,' 'SQL Server,' 'analytics,' 'reporting,' and 'senior management consultation' to ensure it passes initial screenings.
Leverage Jennie Johnson's Power Apply feature to automate tailored applications, identify multiple application portals, and find relevant LinkedIn contacts, allowing you to focus your time on interview preparation and networking.
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