Risk Adjustment Coding Analyst

CenterWell; United States; Remote; USD 59,000 - 70,000; Full time

Job summary

Humana is seeking a Remote Risk Adjustment Coding Analyst to provide analytical and operational support across programs. You will analyze data, prepare executive-ready summaries, and develop dashboards to monitor performance and compliance.

This role emphasizes turning data into clear business narratives and actionable recommendations for leadership. Responsibilities include recurring reporting, ad hoc analyses, and partnering with leaders to define reporting needs.

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.

Responsibilities

• Analyze data to support decision-making, performance monitoring, project tracking, and partner communication.
• Develop recurring dashboards and reports for operational oversight and leadership decision-making.
• Summarize findings in a clear business narrative with key takeaways and next steps.

Skills

Analytical thinking

Data validation

Executive summaries

Communication skills

Reporting

Education

Bachelor's degree or equivalent in business, analytics, healthcare administration, operations, information management, or related field

Tools

Excel

Power BI

SharePoint

OneDrive

Teams

Job description

Remote

The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support decision-making, performance monitoring, project tracking, and partner communication.

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, elevate 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.

Required 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.

Preferred Qualifications

• Experience managing dashboards, trackers, scorecards, or recurring performance reports.
• Experience with Excel-based analysis, Power BI, SharePoint, OneDrive, Teams, or other collaboration and reporting platforms.
• Experience supporting healthcare operations, risk adjustment, coding operations, audit reporting, CDI tracking, provider education reporting, or similar regulated activities.
• Convert complex data into executive-ready summaries, visual tables, trend narratives, and partner-facing updates.
• Experience documenting processes, creating transition plans, maintaining report inventories, and supporting knowledge transfer.
• Comfort working with latest tools, including AI-assisted summaries or analytics, while validating outputs for accuracy before use.
• Identify data discrepancies, clarify definitions, align reporting logic, and support interpretation across partners.

#LI-CM1

Work at Home Requirements:

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel:

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$58,700 - $70,400 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.