Risk Adjustment Coding Analyst

🕒 Agosto 19

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $58.700 - $70.400 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🎲 Riscos

👻 Score fantasma 36%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of CenterWell Senior Primary Care

CenterWell Senior Primary Care

1001 - 5000 funcionários

🏥 Saúde

⚕️ Seguro de Saúde

Healthcare • Healthcare Insurance

A CenterWell Senior Primary Care é um provedor de saúde focado em oferecer cuidados primários personalizados para idosos. A empresa enfatiza uma abordagem abrangente e holística para os cuidados de saúde, atendendo às necessidades físicas, sociais e emocionais dos idosos. Como parte de seus serviços, a CenterWell inclui assistência domiciliar e suporte farmacêutico para complementar seus cuidados primários para idosos. A organização está comprometida em oferecer estabilidade, benefícios inclusivos e oportunidades de crescimento profissional para seus colaboradores, mantendo uma cultura de respeito mútuo e atenção plena. A CenterWell é uma marca sob o grande grupo de saúde, Humana.

Descrição

• Provide operational, analytical, and administrative support to business leaders and teams • Analyze data to support decision-making, performance monitoring, project tracking, and partner communication • Develop recurring dashboards and reports for operational oversight, analytics, compliance monitoring, and leadership decision-making • Analyze operational trends, variances, aging, volumes, activity breakdowns, and performance changes • Summarize findings in clear business narratives with key takeaways and recommended next steps • Prepare executive-ready summaries, presentations, and written analyses explaining the story behind the data • Support recurring and ad hoc reporting, including dashboard maintenance, pending work analyses, activity tracking, audit reporting, GenAI-related reporting, CDI tracking, and query tracking • Partner with leaders and teams to define reporting needs, resolve data issues, and interpret results • Document deliverables, reporting schedules, data sources, process notes, dependencies, risks, and transition plans • Manage priorities, meet deadlines, escalate barriers, and make independent decisions within established guidelines • Maintain confidentiality of sensitive business, operational, and healthcare-related information • Improve reporting processes, manual workflows, data quality, partner usability, and deliverable clarity

🎯 Requisitos

• Bachelor's degree or equivalent experience in business, analytics, healthcare administration, operations, information management, or a related field • Experience supporting operations, analytics, project coordination, or administrative responsibilities • Proficiency with Microsoft Office Suite • Ability to organize data, create summaries, and support presentation-ready deliverables • Ability to validate data, identify trends, compare time periods, calculate changes, and explain findings concisely • Ability to produce written summaries with key insights and recommended next steps • Ability to validate calculations, remove duplicates, and confirm assumptions • Ability to partner across teams and translate requests into reporting or documentation • Ability to maintain confidentiality and handle sensitive operational, employee, provider, member, and business information • Experience improving business processes, partner experience, and operational outcomes through accurate reporting and applicable insights • Experience managing dashboards, trackers, scorecards, or recurring performance reports • Experience with Excel-based analysis, Power BI, SharePoint, OneDrive, Teams, or other collaboration and reporting platforms • Experience supporting healthcare operations, risk adjustment, coding operations, audit reporting, CDI tracking, provider education reporting, or similar regulated activities • Ability to convert complex data into executive-ready summaries, visual tables, trend narratives, and partner-facing updates • Experience documenting processes, creating transition plans, maintaining report inventories, and supporting knowledge transfer • Comfort working with AI-assisted summaries or analytics while validating outputs for accuracy • Ability to identify data discrepancies, clarify definitions, align reporting logic, and support interpretation across partners • Minimum internet speed of 25 Mbps download and 10 Mbps upload for home work • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefícios

• Bonus incentive plan based upon company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Remote work arrangement • Occasional travel to Humana offices for training or meetings • Work-from-home internet service support requirements • Dedicated workspace to protect member PHI/HIPAA information

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