Remote Risk Adjustment Analytics Lead

Humana Inc; Boise (ID); Remote; USD 59,000 - 70,000; Full time

Job summary

Humana Inc. is seeking a Risk Adjustment Coding Analyst to provide operational, analytical, and administrative support to business leaders and teams across the CenterWell Senior Primary Care organization.

You will develop dashboards, analyze trends, prepare executive-ready summaries, and support recurring reporting needs. You will partner with leaders to define reporting needs, ensure data quality, and communicate insights clearly, while maintaining confidentiality of sensitive healthcare

Qualifications

• 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 with the ability to organize data, create summaries, and support presentation-ready deliverables.
• Validate data, identify trends, compare time periods, calculate changes, and explain findings in concise language.
• Produce written summaries including main insights, and recommend next steps for leadership review.
• Validate calculations, removing duplicates, and confirming assumptions before sharing deliverables.
• Partner across teams and translate partner requests into applicable reporting or documentation.
• 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.

Responsibilities

• You will develop recurring dashboards and reports that support operational oversight, analytics, compliance monitoring, and leadership decision-making.
• You will analyze operational trends, variances, aging, volumes, activity breakdowns, and performance changes; summarize findings in a clear business narrative with important takeaways and recommended next steps.
• Prepare executive-ready summaries, presentations, and written analyses that explain the “story behind the data” rather than relying solely on raw reports or pivot tables.
• Support recurring and ad hoc reporting needs, including dashboard maintenance, pending work analyses, activity tracking, audit reporting, GenAI-related reporting, CDI tracking, query tracking, and other priorities.
• Partner with leaders and teams to define reporting needs, resolve data issues, and support interpretation of results.
• Document active deliverables, reporting schedule, data sources, process notes, dependencies, risks, and transition plans to ensure business continuity knowledge transfer.
• You will manage priorities, meet deadlines, escalates barriers, and make independent decisions regarding work methods within established guidelines.
• Maintain confidentiality and handle sensitive business, operational, and healthcare-related information observing organizational policies and compliance expectations.
• Improve reporting processes by identifying opportunities to improve manual work, strengthen data quality, enhance partner usability, and improve the clarity of deliverables.

Education

Bachelor's degree or equivalent experience

Tools

Excel

Power BI

SharePoint

OneDrive

Teams

Microsoft Office Suite

Job description

Humana Inc. is seeking a Risk Adjustment Coding Analyst to provide operational, analytical, and administrative support to business leaders and teams across the CenterWell Senior Primary Care organization.

You will develop dashboards, analyze trends, prepare executive-ready summaries, and support recurring reporting needs. You will partner with leaders to define reporting needs, ensure data quality, and communicate insights clearly, while maintaining confidentiality of sensitive healthcare