Sr Risk Adjustment Analyst - Remote

Freddie Mac; Houston (TX); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player in healthcare analytics is seeking a talented individual to join their dynamic team. This role offers a unique opportunity to contribute to cutting-edge artificial intelligence technologies that enhance healthcare solutions. With a focus on career advancement and a comprehensive benefits package, you will engage in meaningful work that supports customer risk adjustment goals. Collaborate with diverse teams and leverage your analytical skills to drive impactful outcomes in a collaborative and inclusive workplace culture. If you're passionate about data-driven solutions and eager to make a difference, this opportunity is perfect for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Flexible Work Arrangements

Qualifications

• 3-5 years of experience analyzing Medicare Advantage or Medicaid Risk Adjustment data.
• Experience with scalable analytic and reporting solutions.

Responsibilities

• Develop business cases and requirements for analytics and product enhancements.
• Lead customer requests for ad hoc reporting and research initiatives.

Skills

Analytical Skills

Problem-Solving

Attention to Detail

Education

Bachelor's degree in Actuarial Science

Bachelor's degree in Math

Bachelor's degree in Statistics

Tools

SAS

SQL

Job description

Employer Industry: Healthcare Analytics

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Comprehensive compensation and benefits package, including medical, dental, and vision insurance
- Flexible work arrangements to support work-life balance
- Chance to work with cutting-edge artificial intelligence technologies and contribute to meaningful healthcare solutions
- Collaborative and inclusive workplace culture that values diverse perspectives

What to Expect (Job Responsibilities):
- Develop business cases and requirements for new analytics and product enhancements to support customer risk adjustment goals
- Lead customer requests for ad hoc reporting and research initiatives
- Own customer financial improvement modeling, including various payment calculations
- Collaborate with clinicians in outcomes and new product development related to risk adjustment
- Provide training and guidance on the Risk Adjustment process to internal and external customers

What is Required (Qualifications):
- Bachelor's degree in Actuarial Science, Math, Statistics, or a related field
- 3 to 5 years of experience analyzing Medicare Advantage, ACA, or Medicaid Risk Adjustment data
- Experience with scalable analytic and reporting solution development
- Up to 10% travel may be required
- Strong analytical and problem-solving skills with attention to detail

How to Stand Out (Preferred Qualifications):
- Experience with MA mid-year and final year projections and/or ACA transfer payments
- Advanced knowledge of SAS and SQL
- Familiarity with clinical classification such as ICD diagnoses and claims processing
- Experience working with CMS files and submission systems
- Knowledge of statistics with a willingness to gain proficiency

#HealthcareAnalytics #RiskAdjustment #CareerOpportunity #InclusiveWorkplace #DataDrivenSolutions

"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."