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Lead and build a centralized enterprise analytics organization combining clinical, claims, demographic, and operational data to standardize KPIs, create dashboards, develop predictive models, support performance management, enforce data governance, and deliver analytic products for clinical, finance, and operational stakeholders.

The Lead AI Insights Engineer will develop and deploy AI solutions in healthcare, focusing on unstructured data processing and clinical outcomes, collaborating across teams.

Lead development, validation, and optimization of Medicare Advantage revenue and risk-adjustment projection models. Analyze MA data (MMR, MAO-004, claims), assess bidding and rebate impacts, benchmark market performance, collaborate with stakeholders to onboard payers, prepare audit documentation, and deliver actionable insights to senior leadership while growing and managing actuarial talent.

Update and maintain medical margin models for assigned markets, analyze prior period development and emerging trends, prepare audit and close materials, calculate MA payer contract settlements, inform forecast assumptions, and support Market Finance and business development with ad hoc analyses.