Risk Adjustment Data Analyst - Healthcare Analytics

FetchJobs.co; United States; On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Competitive salary packages

Health, dental, and vision insurance

Retirement plans

Paid time off

Professional development opportunities

Wellness programs

Employee assistance programs

Work-life balance initiatives

Job summary

University Health in the United States is seeking a Risk Adjustment Data Analyst to support CMS risk adjustment program by analyzing healthcare data, retrieving medical records, and monitoring HCC capture. You will collaborate with internal teams and vendors to ensure accurate reporting and regulatory compliance.

The role requires a bachelor’s degree in a related field, at least two years of healthcare data analysis experience, and proficiency with Excel.

Qualifications

• Bachelor’s degree in a related field and two years of healthcare data analysis experience.
• Experience with health data, EHRs, and medical record retrieval is preferred.
• Proficiency in Excel and strong analytical, organizational, and communication skills.

Responsibilities

• Support risk adjustment initiatives through data analysis and reporting.
• Retrieve and validate medical records for risk adjustment purposes.
• Monitor HCC capture and identify coding opportunities to optimize risk scores.
• Analyze provider performance metrics and ensure CMS regulatory compliance.

Skills

Healthcare data analysis

Medical record retrieval

Excel proficiency

Data validation

Analytical thinking

Communication skills

Education

Bachelor’s degree in Health Informatics, Healthcare Administration, Data Analytics, or related field

Job description

University Health in the United States is seeking a Risk Adjustment Data Analyst to support CMS risk adjustment program by analyzing healthcare data, retrieving medical records, and monitoring HCC capture. You will collaborate with internal teams and vendors to ensure accurate reporting and regulatory compliance.

The role requires a bachelor’s degree in a related field, at least two years of healthcare data analysis experience, and proficiency with Excel.