The BI Analyst will design and develop high-quality, user-friendly visualizations and dashboards to support provider performance improvement strategies. They will collaborate with cross-functional teams to conduct user design sessions and provide analytic support for Medicare Advantage quality programs.
The Principal BI Analyst will lead the development of data visualization governance, standards, and architecture while providing consultative services across the enterprise. They will also mentor junior staff and facilitate cross-functional problem-solving to ensure the delivery of scalable, high-performance analytic solutions.
The Team Leader will supervise staff responsible for processing appeals, coding disputes, and grievances while ensuring compliance with regulatory guidelines. They will also oversee daily operations, manage team priorities, and collaborate with leadership to improve workflows and resolve cross-team issues.
The role involves designing specialty pharmacy networks, developing reimbursement models, and implementing cost-reduction strategies to meet affordability goals. The advisor will also analyze market trends and collaborate with internal and external stakeholders to optimize network performance.
Lead the research and development of predictive, prescriptive, and Generative AI solutions to drive organizational decision-making. Design and implement self-learning ML/DL systems and collaborate with business partners to integrate these technologies into production environments.
