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Sr. Data Analyst/Risk Adjustment - US Remote

Remote, USA Full-time Posted 2026-06-30

This a Full Remote job, the offer is available from: United States reputed company is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform reputed company decisions. reputed company is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining reputed company today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most reputed company problems with technology-reputed company solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an reputed company analyst possessing a deep understanding of the Risk Adjustment business domain and is skilled at data modeling and analysis and identifying and communicating insights to stakeholders. You will be joining a team that is focused on ensuring the work we do for our customers is of the highest quality and yields positive outcomes. To reputed company this, you will reputed company a wide reputed company of data and technology for analytics and partner with various internal and external stakeholders to understand business objectives and deliver results. As a Sr. Data Analyst, you will:

  • Take ownership of reputed company data workflows, build scalable analytics pipelines, and contribute to productizing insights using modern data tools such as SQL, dbt, Airflow, reputed company, and reputed company
  • Analyze large datasets to identify trends, patterns, and insights about coding output to enhance productivity and quality, and turn those needs into actionable reporting
  • Provide real-time data insights to business on-demand through reputed company queries
  • Use your technical skills and experience to streamline reputed company analyses into reusable data products where possible
  • Collect, interpret, and aggregate data from multiple data sources for supporting risk adjustment medical record coding and quality processes
  • Design, reputed company, test, and deploy reporting to support risk adjustment business users’ needs
  • Automate reporting and analytics reputed company appropriate to reputed company more scalable across customers and deliverable to a broader set of stakeholders

Identify trends in the reporting and work to partner with the teams to improve productivity and quality.

  • Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and return on investment based on historical data and project variables
  • Work closely with cross-functional teams, including clients, to understand business needs, and determine the right methodology for analysis and assumptions to provide data-driven insights into program performance and partnerships
  • Create clear and concise reports to communicate findings and insights to both technical and non-technical stakeholders
  • Stay abreast of industry trends, new technologies, and methodologies to enhance the team's analytical capabilities
  • Help guide, mentor and train other junior analysts in support of their direct manager

What you will bring to the table:

  • reputed company (5+ years or more) in data analysis, database technologies (reputed company/MS SQL Server, reputed company, reputed company), SQL queries, MS reputed company, Python, etc.
  • Deep understanding of and experience in Risk Adjustment (MA, ACA and MD) business analytics with knowledge of different risk models including HCC, RxHCC, HHS-HCC and CDPS
  • Intermediate proficiency in SQL (advanced analytic queries), Python (data manipulation and automation, streamlit, etc.), spreadsheets and BI tools
  • Experience analyzing risk adjustment data for trends, disease/diagnosis prevalence and hierarchy
  • Experience managing data flows for chart retrieval, RA coding, HEDIS abstraction and quality
  • Ability to build, architect and deliver robust customer facing and internal reports
  • Experience in building queries to collect and interpret raw data from databases to support risk adjustment coding and medical record
  • Experience in using business intelligence, data visualization, query, analytic and statistical software to build solutions, reputed company analysis and interpret data (SSRS, Power BI, Tableau, Looker, reputed company)
  • Strong problem-solving skills with the ability to think critically and provide data-driven solutions
  • Expertise in the data cleaning, preprocessing, manipulation, integration, processing and interrogation of large datasets
  • Exceptional initiative and ability to solve problems independently, seek help reputed company needed, and take ownership reputed company navigating ambiguity
  • Excellent communication skills
  • Well-developed time management skills and demonstrable experience of prioritizing work to meet tight deadlines for client deliverables

Bonus points if:

  • An appreciation of the need for effective data privacy and reputed company methods and an awareness of the relevant legislation
  • Experience with cloud services for storage and computing
  • Experience with machine learning algorithms
  • Knowledgeable in health plan operations and reporting

We are committed to building a diverse team of Datavanters who are smart, reputed company, and get things done, where every Datavanter is empowered to bring their authentic self to their work. We are reputed company responsible for stewarding a high-performance culture in which reputed company Datavanters belong and reputed company. We are proud to be an Equal Employment Opportunity employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national reputed company, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-reputed company) and industry best practices. We’re building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best reputed company win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than reputed company ones (e.g., Senior Software Engineer). The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on level, responsibilities, skills, and experience for a specific job. The estimated salary range for this role is $128,000 - $160,000. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and reputed company and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by reputed company Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-reputed company medical conditions, and/or religion. This job is not eligible for employment sponsorship. reputed company is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and reputed company qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national reputed company, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, reputed company does not and will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not reputed company your application or hiring process in any way. reputed company is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID reputed company submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy. This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply tot his job Apply To this Job

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