Sr Business Analyst Consultant, Group Risk Capability Enablement - Remote PST Zone Hours

Remote Jobs; Irvine (CA); Remote; USD 160,000 - 189,000; Full time

Job summary

A leading healthcare services provider is seeking an experienced professional to lead risk adjustment strategies. This remote position requires over 10 years in technical solutions and risk adjustment models. Join a supportive environment aimed at enhancing health outcomes with competitive compensation of up to $188,800 annually.

Benefits

Comprehensive benefits package

Equity stock purchase

401k contributions

Career advancement opportunities

Qualifications

• 10+ years of experience in business requirement documentation and technical solutions.
• 3+ years of experience with risk adjustment models.
• Proven ability to communicate effectively with minimal oversight.

Responsibilities

• Lead the end-to-end risk adjustment strategy and execution.
• Oversee deployment of point-of-care tools within Epic.
• Collaborate with cross-functional teams for regulatory requirements.

Skills

Business requirement documentation

Risk adjustment models (CMS HCC, CDPS, HHS HCC)

Data analysis

Communication

Project management

Tools

Electronic Health Record (EHR) systems

Epic EMR

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Salary up to $188,800 annually
• Comprehensive benefits package, including equity stock purchase and 401k contributions
• Opportunity for career advancement and growth within the organization
• Work remotely from anywhere within the U.S.
• Supportive and inclusive work environment focused on improving health outcomes

What to Expect (Job Responsibilities):

• Lead the end-to-end risk adjustment strategy and execution, ensuring accuracy and compliance
• Oversee the deployment and optimization of point-of-care tools within Epic to enhance risk coding and documentation
• Collaborate with cross-functional teams to translate regulatory requirements into actionable system enhancements
• Guide change management and training efforts related to new risk adjustment initiatives across markets
• Ensure ongoing quality assurance and data validation, including user acceptance testing and system evaluations

What is Required (Qualifications):

• 10+ years of experience with business requirement documentation, technical solutions/product management, and data analysis
• 3+ years of experience with risk adjustment models such as CMS HCC, CDPS, or HHS HCC
• Experience with electronic health record (EHR) systems
• Knowledge of Centers for Medicare and Medicaid Services regulations
• Proven ability to communicate effectively and manage assigned work with minimal oversight

How to Stand Out (Preferred Qualifications):

• Experience with Epic EMR