Risk Adjustment & HCC Analytics Specialist

Henry Ford Health

Detroit (MI)

On-site

USD 90,000 - 115,000

Full time

10 days ago

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Job summary

Henry Ford Health in Detroit is seeking a Risk Adjustment Informatics Specialist to drive complex program analytics and improvements in Risk Adjustment, HCC coding, and value-based reimbursement. You will build dashboards and report program activity to support leadership.

Ideal candidates possess five years of healthcare analytics experience, strong quantitative and data mining skills, and expertise in HCC methodologies. The role emphasizes collaboration and compliance.

Qualifications

Bachelor's degree in healthcare, science, business, computer science, or related field.
Five (5) years of experience in a healthcare or business setting.
Quantitative analysis experience in data science, including data mining, predictive modeling, and statistical analysis.
Extensive knowledge of Risk Adjustment methodologies, HCC coding, and value-based reimbursement programs.
Proficiency in Microsoft Office (Excel, Access, PowerPoint, Word, Project, PowerBI).

Responsibilities

Conduct complex program analytics and process improvement activities for Risk Adjustment and HCC Coding.
Develop and maintain program dashboards to report on Risk Adjustment and HCC coding activities.
Proactively identify areas for improvement in Risk Adjustment methodologies and coding practices.
Serve as a subject matter expert on Risk Adjustment methodologies, HCC coding, and value-based reimbursement programs.
Communicate CMS and program requirement updates to ensure continued compliance and optimal performance.
Present findings and recommendations to leadership for decision support and performance tracking.