Risk Adjustment EDGE Administrator

Job Summary

A company is looking for an ACA Risk Adjustment EDGE Administrator to manage operations related to the CMS EDGE server environment.

Key Responsibilities

• Manage daily operations of the CMS EDGE server, including file ingestion and submission monitoring
• Oversee troubleshooting and remediation of file processing and validation errors within the EDGE environment
• Collaborate with teams to maintain and optimize data pipelines for EDGE submissions and analytics

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