Principal Risk Adjustment Analytics Consultant

🔥 0 minutes ago

🎸 Tennessee – Remote

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💵 $102k - $184.3k / year

⏰ Full Time

🔴 Lead

🎲 Risk

🦅 H1B Visa Sponsor

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Logo of Health Care Service Corporation

Health Care Service Corporation

10,000+ employees

Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.

📋 Description

• Drive analytical strategies and solutions to optimize Medicare Risk Adjustment (RA) performance • Deliver actionable insights and build dynamic visualizations • Provide strategic advisory services to internal stakeholders and senior leadership • Analyze revenue optimization, risk forecasts, HCC coding logic, RADV audits, Medicare segmentation, and data & logic governance • Build interactive visualizations and interpret CMS model updates

🎯 Requirements

• Bachelor's degree and 8 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree with 6 years of experience OR PhD with 4 years of experience OR 12 years of experience in health care services, statistical analysis, or insurance industry economics or related field • Strong analytical skills and proficiency in computer languages, such as SQL, Python, R, etc. • Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI • Excellent communication and presentation skills • Ability to work independently and as part of a team • Ability to lead multiple analytic related projects in parallel

🏖️ Benefits

• Health and wellness benefits • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement

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