- Managed Care (Full-Time, Day Shift) -
Our mission is to participate in Jesus Christs ministry, bringing health, healing, and wholeness to humanity by creating a supportive faculty practice framework. This framework allows Loma Linda University School of Medicine physicians and surgeons to educate, conduct research, and deliver quality health care with optimal efficiency. We aim to deploy a motivated and competent workforce trained in customer service and whole person care principles, providing safe, seamless, and satisfying health care encounters for patients while upholding the highest standards of fiscal integrity and clinical ethics. Our core values are compassion, integrity, humility, excellence, justice, teamwork, and wholeness.
The Performance Analyst supports Managed Care leadership by providing data management and analytics related to the management of Medicare Advantage and commercial populations, as well as associated contract performance. The role involves designing and implementing metrics for operational and financial performance, creating dashboards, and tracking RAF/Risk Adjustment scores. The analyst forecasts clinical and financial data impacts, ensures compliance with CMS and DMHC regulations, and fulfills reporting requirements. Performs other duties as assigned.
Qualifications
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