Risk Adjustment Analyst
virtual vocationsDenver, CO
Risk Adjustment Analyst
L5
virtual vocationsDenver, COtoday
Occupations
Health Information Technologists and Medical RegistrarsClaims Adjusters, Examiners, and InvestigatorsFinancial Risk SpecialistsIndustries
All Other Insurance Related ActivitiesAll Other Miscellaneous Ambulatory Health Care ServicesAll Other Outpatient Care CentersTo support a growing Data Analytics team, the full-time remote Sr. Risk Adjustment Solutions Analyst will analyze Medicare Advantage and ACA Risk Adjustment program performance, provide expertise on risk adjustment methodologies, and collaborate across teams to transform healthcare data into actionable insights.
Key Responsibilities:
Analyze Medicare Advantage and ACA Risk Adjustment program performance to identify opportunities for improvement and revenue optimization
Evaluate operational and financial performance metrics, developing data-driven recommendations and supporting client-facing initiatives
Develop, optimize, and troubleshoot complex SQL queries and collaborate with cross-functional teams to implement scalable solutions
Required Qualifications:
Bachelor's degree in Healthcare, Statistics, Computer Science, Engineering, Business Analytics, or related field
5+ years of healthcare data analytics experience, including data mining, mapping, transformation, validation, and reporting
3+ years of hands-on experience in Medicare Advantage and/or ACA Risk Adjustment
3+ years of advanced SQL development experience
Strong understanding of CMS data files, including MMR and MOR, and the end-to-end Risk Adjustment lifecycle
Apply now (opens in a new tab)
Level
SeniorL5
Location
Denver, CO
Occupation
Health Information Technologists and Medical Registrars
Industry
All Other Insurance Related Activities
Posted
today
To get sharper similar jobs, create your profile using the link below.