Senior Risk Adjustment & HCC Analytics Specialist

Henry-Ford-Health-2

Detroit (MI)

On-site

USD 90,000 - 130,000

Full time

3 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 process improvements for Risk Adjustment, HCC coding, and value-based reimbursement initiatives. You will collaborate with clinical, revenue cycle, and executive teams to develop dashboards and reports that track activity and performance.

The role requires a bachelor's degree and at least five years in healthcare or a related setting, with strong quantitative analytics, data

Qualifications

Bachelor's degree in healthcare, science, business, computer science, or related field.
Five years of experience in a healthcare or business setting.
Quantitative analysis experience in data science, including data mining, predictive modeling, and statistics.

Responsibilities

Conduct complex analytics and process improvements for Risk Adjustment and HCC coding.
Develop and maintain dashboards reporting Risk Adjustment activities.
Identify opportunities to improve risk adjustment methodologies and coding practices.
Serve as SME on risk adjustment, HCC coding, and value-based reimbursement programs.
Communicate CMS and program updates to ensure compliance and performance.
Present findings and recommendations to leadership for decision support.