ACA Risk Adjustment Administrator

Job Summary

A company is looking for an ACA Risk Adjustment EDGE Administrator.

Key Responsibilities

• Manage daily operations of the CMS EDGE server, including file ingestion and submission monitoring
• Coordinate execution of processes for the AWS hosted EDGE environment and monitor system updates
• Collaborate with IT teams to maintain compliance with CMS regulations and oversee troubleshooting of errors

Required Qualifications

• Bachelor's degree in Information Systems, Computer Science, Data Analytics, Public Health, or related field
• 3+ years of experience in ACA Risk Adjustment and EDGE operations
• Deep understanding of ACA Marketplace operations and CMS EDGE submission requirements
• Hands-on experience with AWS services relevant to EDGE workflows
• Proficiency in SQL and SAS for managing large healthcare datasets