Remote Senior Data Risk Adjustment Analyst

CareFirst, Inc.; Baltimore (MD); Hybrid; USD 87,000 - 173,000; Full time

Job summary

CareFirst, Inc. is seeking a Sr. Data Analyst to support Health Services Risk Adjustment through advanced analytics, reporting, and data-driven insights.

The role focuses on developing trusted data assets, dashboards, and analyses to improve program performance and regulatory compliance. The ideal candidate will have 5+ years in analytical roles, strong SQL/Power BI/Python, and experience with Medicare/ACA/Medicaid risk adjustment.

Qualifications

• Education level: Bachelor's degree or higher; additional 4 years of relevant work experience allowed in lieu.
• Experience: 5 years in analytical/quantitative roles.
• Preferred qualifications include healthcare industry experience and production-scale analytics with big data/noSQL technologies.

Responsibilities

• Perform advanced data exploration, analysis, and solution development to support Risk Adjustment initiatives.
• Collect, analyze, and interpret Risk Adjustment data to improve risk score accuracy and regulatory reporting.
• Develop dashboards and reporting while ensuring data governance and quality.

Skills

SQL

Power BI

Fabric

Python

SSMS

Healthcare industry

Big Data

NoSQL

Production-scale projects

Education

Bachelor's Degree in Data Science, Mathematics, Computer Science, Statistics, Business or related field

Job description

CareFirst, Inc. is seeking a Sr. Data Analyst to support Health Services Risk Adjustment through advanced analytics, reporting, and data-driven insights.

The role focuses on developing trusted data assets, dashboards, and analyses to improve program performance and regulatory compliance. The ideal candidate will have 5+ years in analytical roles, strong SQL/Power BI/Python, and experience with Medicare/ACA/Medicaid risk adjustment.