Senior Risk Adjustment Analyst

Job not on LinkedIn

🕒 July 21

🐊 Florida – Remote

🐊 Florida – Remote

💵 $74.6k - $126.8k / year

⏰ Full Time

🟠 Senior

🎲 Risk

👻 Ghost score 38%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

PACIFICSOURCE

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1933

Not-for-profit health plans

📋 Description

• Assist in the accurate and comprehensive data submission to regulatory entities for all risk adjustable populations • Leverage available tools and knowledge of applicable risk models to optimize data submission • Collaborate and coordinate with internal and external partners to minimize submission and response errors • Develop and improve processes related to risk adjustment and quality improvement • Maintain required documentation and ensure compliance to all applicable laws, guidance, and regulations • Provide mentorship to less experienced team members

🎯 Requirements

• Five years’ experience in data analytics or software development required • At least three years’ experience in Health Plan required • In depth risk adjustment and/or HEDIS ® experience required • Expertise in Microsoft Excel and SAS/SQL is required • Experience in leading projects and project teams required • Familiarity with Medicaid risk adjustment and CMS 5-Star required • Familiarity with Risk Adjustment Documentation, Coding practices and NCQA quality metric experience preferred

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work hours • Paid time off