Risk Adjustment Analyst

Job Summary

A company is looking for a Sr Risk Adjustment Analyst.

Key Responsibilities

• Oversee, monitor, and enhance risk adjustment data quality across various systems
• Perform performance reporting, dashboarding, and create target lists and program ROIs
• Serve as the subject matter expert in risk adjustment initiatives

Required Qualifications, Training, and Education

• Bachelor's Degree or equivalent experience required
• Four years of risk adjustment experience in a healthcare or insurance environment required
• Experience manipulating and analyzing large data sets required
• Familiarity with ICD-10, CM, and CPT coding terminology required
• Proficiency in computer applications, including MS Office required