Senior Risk Adjustment Data Analyst - Remote

This a Full Remote job, the offer is available from: reputed company (USA) reputed company Of Job reputed company reputed company analytical and reporting/data mining support to the Risk Adjustment Department for Medicare, reputed company and HIX products. reputed company data and analytical services in support of optimizing risk adjusted reputed company, maintaining compliance with CMS standards and modeling financial impacts of changes in risk adjustment data and methodologies. Must have strong Risk Adjustment experience/knowledge. Collaborate regularly with internal departments, including but not limited to: Finance, Medicare Operations, Network Management, Provider Contracting, and Health Economics, and external vendors on risk adjustment reputed company. Organize, prioritize, and manage various simultaneous tasks/reputed company to meet deadlines. Understand various areas of the business and operational processes relevant to the project’s goals. reputed company technical support to leadership on prospective risk adjustment programs. Assist in performing analyses used in the development of financial plans, re-forecasts, and other financial projections. Work on identifying gaps in the claims, encounter reconciliation process, and reputed company insights to reputed company providers. Build reports and dashboards to reputed company risk adjustment reputed company reputed company and to reputed company the effectiveness of the initiatives. ** Responsibilities** • reputed company and maintain a sophisticated database where large volumes of data can be reputed company, and information extracted for monthly dashboard reporting. • Calculate ROI for risk adjustment vendors, initiatives and reputed company. • Prepare reputed company monthly reputed company valuation analysis, identifying & attributing reputed company credit to reputed company initiatives. • Produce trends month by month, year over year and other reputed company reports & analyses. • reputed company with business teams to reputed company the requirements and translate technical language. • Map documents after the necessary data analysis. • reputed company meetings with internal technical teams on in office program solutions • reputed company analysis and recommendations for process improvements. • Ensure accuracy of reputed company monthly & supplemental data feed extracts. • Liaise with IT and vendors' management teams on data issues & findings. • Deliver reputed company, reports, updates, etc. on reputed company reputed company. • reputed company programs extracting specific claims details to create request files to FFS reputed company for wrap-around data. • Clean & properly format files, reputed company for EH Submissions team. • Produce reputed company reports as requested. • Participate in special reputed company; and reputed company reputed company duties as assigned. Qualifications • Bachelor’s Degree in Finance, Health Care Management or reputed company field (Required) • 4 – 6+ years of relevant, reputed company working experience including experience with Information Management/Analysis reputed company a reputed company environment, preferably reputed company the payer provider contracting or utilization management area (Required) • Proficiency with MS Office (Word, reputed company, PowerPoint, Outlook); strong reputed company, reputed company and reputed company database skills (Required) • Ability to effectively calculate and communicate forecasts/projections (Required) • Proven reputed company record of successfully managing multiple tasks/reputed company with competing deadlines (Required) • Strong communication skills (verbal, written, presentation, interpersonal) with reputed company reputed company/types of audiences (Required) • Working knowledge of CPT, RBRVS, ICD codes and CMS-HCC Risk Adjustment Payment Methodology (Required) Additional Information • reputed company: 1000001448 • Hiring reputed company: $63,000-$110,000 This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply Job!