Risk Adjustment Data Analyst

Job Summary

To support critical risk adjustment initiatives, the full-time Risk Adjustment Data Analyst III will manage data submission and validation processes, perform analysis and reporting related to risk scores, and collaborate with stakeholders, all while working remotely.

Key responsibilities

• Collaborate with stakeholders on risk adjustment data submission and related activities
• Perform analysis and reporting on risk score calculations and encounter data submissions
• Conduct root cause analysis of encounter processing issues and develop data-driven recommendations

Required qualifications

• Bachelor's degree in Computer Science, Data Science, or a related analytical field preferred
• Minimum of five years of experience in programming or analytics, preferably in healthcare or insurance
• Experience with programming and statistical software such as SAS, Oracle, or SQL
• Advanced knowledge of Excel and Access required
• Familiarity with risk adjustment programs for Medicare/Medicaid or ACA is a plus