Senior Health Care Analyst-Risk Adjustment

The Senior Health Care Analyst is responsible for planning, organizing, directing, implementing, and leading department assignments related to Medicare Risk Adjustment. This role involves analyzing clinical, claims, and enrollment data to ensure compliance with government regulations, identify trends, and collaborate with cross-functional teams to improve risk adjustment strategies and processes. The position operates within broad objectives to optimize workforce and budget utilization.

Requirements

• Provide analytical support on prospective and retrospective initiatives.
• Builds and supports business reports to be included in executive dashboards.
• Leads in the research, analysis, identification, and evaluation of data from assigned problems.
• Develops lines of communication to discuss and review results of analysis.
• Investigates, reviews, recommends, communicates, and implements solutions.
• Identifies and resolves challenges.
• Works with analytics and operations to automate dashboard functions.

Benefits

• Competitive salary