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Analytics and Reporting Engineer Healthcare Analytics Medicare Advantage

HJ Staffing

United States

Remote

USD 85,000 - 120,000

Full time

2 days ago
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Job summary

A leading company in healthcare analytics is looking for an Analytics and Reporting Engineer to develop and optimize dashboards and reporting solutions. This role requires strong expertise in Medicare Advantage programs, with responsibilities including RAF calculations and compliance with CMS regulations. If you are proactive, self-motivated, and possess advanced skills in BigQuery and SQL, we want to hear from you!

Qualifications

  • 3+ years of experience in healthcare analytics/reporting, with emphasis on Medicare Advantage.
  • Hands-on expertise in RAF calculation methodologies and accrual reporting.
  • Familiarity with CMS reporting requirements and healthcare data compliance (HIPAA).

Responsibilities

  • Develop, maintain, and optimize analytical dashboards using Looker and BigQuery.
  • Perform complex RAF calculations and develop related documentation/models.
  • Translate business needs into actionable analytical solutions for healthcare stakeholders.

Skills

RAF calculations
Accrual reporting
Chart chase analytics
Cloud-based reporting tools
Healthcare analytics
Agile methodologies
SQL
Python

Education

Bachelor's degree in Computer Science
Bachelor's degree in Information Systems
Bachelor's degree in Analytics

Tools

BigQuery
Looker
Jira
Confluence
Google Cloud Platform (GCP)

Job description

We are looking for an Analytics and Reporting Engineer with a passion for healthcare analytics and deep expertise in Medicare Advantage programs. If you thrive in fast-paced, agile environments and have a strong background in RAF calculations, accrual reporting, chart chase analytics, and cloud-based reporting tools, we want to meet you!

What You Will Do:

  • Develop, maintain, and optimize analytical dashboards and reporting solutions using Looker and BigQuery.

  • Perform complex RAF (Risk Adjustment Factor) calculations and develop related documentation/models.

  • Build accrual reporting processes to support accurate revenue and risk adjustment forecasting.

  • Support chart chase analytics to enhance retrieval operations and coding accuracy.

  • Develop channel target analytics to prioritize outreach and improve program performance.

  • Translate business needs into scalable, actionable analytical solutions for healthcare stakeholders.

  • Collaborate with Agile teams, using Jira for project management and Confluence for documentation.

  • Ensure all data and analytics align with CMS regulations and Medicare Advantage requirements.

You Will Be Successful If:

  • You're self-motivated, proactive, and able to thrive in a fast-paced, startup or agile environment.

  • You take strong ownership of your work and deliverables—serving as a “task master.”

  • You're an eager self-learner, keeping up with new technologies and healthcare trends.

  • You have excellent written and verbal communication skills to collaborate across teams.

What You Bring:

  • Bachelor's degree in Computer Science, Information Systems, Analytics, or related field.

  • 3+ years of experience in healthcare analytics/reporting, with emphasis on Medicare Advantage.

  • Hands-on expertise in RAF calculation methodologies, accrual reporting, chart chase analytics, and channel targeting.

  • Advanced proficiency in BigQuery, Looker, SQL, and Python.

  • Strong understanding of Agile methods, Jira, Confluence, and Google Cloud Platform (GCP).

  • Familiarity with CMS reporting requirements and healthcare data compliance (HIPAA).

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