Remote Senior Director Medicare Risk Adjustment Data

E2E Alignment Healthcare USA, LLC; California (MO); Hybrid; USD 198,000 - 297,000; Full time

Job summary

Alignment Health is seeking a Sr. Director of Risk Adjustment Data & Analytics (Remote) to lead end-to-end MRA data operations, ensuring timely, complete, and defensible data that drives RAF scores and plan revenue.

You will manage a multidisciplinary team of analysts, data scientists, and engineers, partnering with Finance, Actuarial, Clinical Operations, and Compliance to deliver executive‑level insights, governance, and audit readiness.

Qualifications

• 7–10 years in healthcare data analytics or data operations.
• Led data teams in regulated, audit-sensitive environments.
• Experience with RADV audits and CMS reporting requirements.
• Proficiency in PowerBI/Tableau and BI storytelling.
• Strong SQL, Python or R, and cloud data platform skills.

Responsibilities

• Lead MRA Data Operations and Ecosystem Quality across ingestion, transformation, validation, reporting and analytics.
• Drive analytical insights and executive-ready narratives with data visualizations.
• Ensure audit readiness, data governance, and compliance.
• Partner with Finance, Actuarial, Clinical Ops, and Compliance on program performance.
• Direct and develop the MRA analytics team and improve data quality.

Skills

MRA Operations

Data Analytics

BI Reporting

SQL

Cloud Platforms

Leadership

Education

Bachelor's degree

Master's degree

Tools

PowerBI

Tableau

Excel

SQL

Python

R

Azure

AWS

GCP

Job description

Alignment Health is seeking a Sr. Director of Risk Adjustment Data & Analytics (Remote) to lead end-to-end MRA data operations, ensuring timely, complete, and defensible data that drives RAF scores and plan revenue.

You will manage a multidisciplinary team of analysts, data scientists, and engineers, partnering with Finance, Actuarial, Clinical Operations, and Compliance to deliver executive‑level insights, governance, and audit readiness.