Lead Data Analyst - Risk Adjustment - Only W2

nTech Workforce; United States; Remote; USD 44,000 - 198,000; Full time

Job summary

An established industry player is seeking a Lead Data Analyst to join their dynamic team focused on Risk Adjustment analytics. This role offers the opportunity to leverage your extensive experience in data analysis and risk adjustment methodologies, particularly within Medicare Advantage plans. You will play a crucial role in developing insightful data visualizations using Power BI and optimizing SQL queries to support key initiatives. If you're passionate about data integrity and analytics, and ready to mentor junior analysts while collaborating with cross-functional teams, this is the perfect opportunity for you to make a significant impact.

Benefits

Medical insurance

Vision insurance

401(k)

Disability insurance

Qualifications

• 8+ years of data analysis experience, especially in large organizations.
• 3+ years of direct experience with Risk Adjustment data in Medicare Advantage.

Responsibilities

• Lead analyst for Risk Adjustment data initiatives within Medicare Advantage.
• Develop and troubleshoot complex SQL queries for analytical needs.

Skills

SQL

Power BI

Data Analysis

Risk Adjustment

Alteryx

Data Visualization

Mentoring

Tools

Microsoft SQL Server Management Studio (SSMS)

Microsoft Fabric

Job description

Lead Data Analyst - Risk Adjustment - Only W2

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Terms of Employment

• This position is 100% remote. Candidates must be based in Maryland, Washington, DC, Virginia, West Virginia, Pennsylvania, Delaware, New Jersey, New York, North Carolina, Florida, or Texas.

Overview & Responsibilities

We are seeking an experienced Lead Data Analyst to join the Quality, STARs, and Risk Adjustment Analytics team at a leading health insurance organization. This team plays a vital role in supporting enterprise-wide efforts related to Quality initiatives, STARs performance, and Risk Adjustment programs.

This individual will primarily focus on Risk Adjustment analytics, particularly within Medicare Advantage plans. The ideal candidate will bring deep domain expertise in risk adjustment methodologies and file types, paired with advanced technical skills in SQL and Power BI. Key Responsibilities:

1. Serve as the lead analyst for Risk Adjustment data initiatives within the Medicare Advantage space.
2. Develop, optimize, and troubleshoot complex SQL queries to support analytical needs.
3. Create intuitive, interactive, and insightful data visualizations using Power BI to communicate key findings to stakeholders.
4. Collaborate with cross-functional teams to integrate data from various sources and ensure data integrity and accuracy.
5. Use data analytics workflow tools (e.g., Alteryx, Microsoft Fabric) to automate and streamline processes.
6. Support Quality and STARs initiatives through data analysis as needed.
7. Mentor junior analysts and provide analytical leadership across projects.

Required Skills & Experience

1. 8+ years of data analysis experience within large organizations.
2. 3+ years of direct experience working with Risk Adjustment data, especially in the Medicare Advantage context.
3. Strong working knowledge of Medicare Advantage risk adjustment business concepts and relevant data files.
4. Advanced SQL programming skills, with demonstrated expertise using Microsoft SQL Server Management Studio (SSMS).
5. Proficient in building and troubleshooting SQL queries and integrating data from external systems.
6. Advanced Power BI skills, including dashboard development and data visualization best practices.
7. Demonstrated lead or senior-level experience on data analysis projects or teams.

Preferred Skills & Experience

• Experience supporting Quality and STARs data analysis initiatives within a health insurance organization.
• Experience with Alteryx, Microsoft Fabric, or similar analytics workflow development tools.
• Familiarity with HCC coding, CMS submission files, or similar Risk Adjustment-related data assets.
• Strong communication and collaboration skills, with an ability to present complex data to non-technical stakeholders.

Seniority level

Mid-Senior level

Employment type

Contract

Job function

Information Technology

Industries

Hospitals and Health Care

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Inferred from the description for this job

• Medical insurance
• Vision insurance
• 401(k)
• Disability insurance

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