Risk Adjustment Execution & Enablement Analytics & Rptg Consultant - Hybrid

Health Care Service Corp.; Chicago (IL); Hybrid; USD 84,000 - 152,000; Full time

Benefits offered by this job

Hybrid work arrangement

Total rewards package

Job summary

Health Care Service Corporation (HCSC) is seeking a data analytics professional to support Risk Adjustment Execution & Enablement. You will work with medical records, claims, and eligibility data to deliver actionable reporting and analytics.

The role involves creating datasets, reports, and tools for business decision support, interfacing with stakeholders and vendors to ensure secure data handling. The position emphasizes solving complex problems, presenting insights, and leading projects with

Qualifications

• Bachelor's degree and 4 years of analytical experience or 9 years of analytical experience in relationship management or analytics.
• Experience gathering and documenting business requirements for information-related strategies.
• Ability to solve complex problems and take new perspectives using existing solutions.
• Familiarity with SDLC, Agile methodologies, and related tools.

Responsibilities

• Analyze complex business problems using internal and external data sources.
• Create reports, insights, and analytics to support the division.
• Develop specifications for reports and analyses based on business needs.
• Collaborate with customers, data teams, and vendors to enable secure data handling.

Skills

Analytical thinking

Verbal and written communication

SDLC & Agile

Stakeholder management

SQL

Education

Bachelor's degree

Master's degree

Tools

SAS

SPSS

R

MATLAB

SQL

Python

Teradata

Alteryx

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

As a member of the Risk Adjustment Execution & Enablement team, this role supports medical record retrieval operations by working with medical records, claims, and eligibility data to deliver actionable reporting and analysis. This position is responsible for creating reports, insights, and analytics in support of the division; creating specifications for reports and analysis based on business needs; and producing datasets and reports for analysis using system reporting tools. The position interfaces between the business, divisional data teams, internal stakeholders, and external vendors to support the secure retrieval, movement, storage, and processing of healthcare data. Responsibilities include analyzing complex business problems and issues using internal and external data sources, identifying and interpreting trends and patterns, assisting with research related to strategic initiatives, and generating tools and analyses that drive business decisions. The role works closely with customers and partners to build relationships while continuously gaining a deeper understanding of the division’s data to meet evolving business needs.

Required Job Qualifications

• Bachelor degree and 4 years of analytical experience in relationship management or driving analytics insights into action OR 9 years of analytical experience in relationship management or driving analytics insights into action.
• Experience gathering and document business requirements in support of information-related strategies.
• Experience solving complex problems; Experience taking a new perspective using existing solutions.
• Knowledge of various software development processes, including SDLC, Agile methodologies, and tools and technologies.
• Experience creating and conducting presentations to inform and influence.
• Experience in leading functional teams and projects.
• Experience with SAS, SPSS, R, MATLAB, SQL, Python etc.
• Clear and concise verbal and written communication skills.
• PC proficiency with Microsoft applications including Access, Excel, Word and Power Point.

Preferred Job Qualifications

• Bachelor degree in business, engineering or mathematics.
• Master degree.
• Healthcare experience in business development, business analytics, or innovation management
• Experience with healthcare data, including medical records, claims, eligibility data, and PHI.
• Knowledge of ACA and/or Medicare Advantage (MA) Risk Adjustment.
• Experience with medical record retrieval and healthcare data operations.
• Proficiency in SQL and querying large datasets.
• Experience with Teradata and Alteryx.
• Experience managing vendor relationships and cross-functional initiatives.
• Experience working with large-scale data storage, processing, and file management.

Locations

Chicago, IL or Richardson, TX

Schedule

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

Sponsorship

Sponsorship is not available

Pay Transparency Statement

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Base Pay Range

$84,400.00 - $152,300.00 Exact compensation may vary based on skills, experience, and location.

HCSC Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

Company Overview

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.