Principal Risk Adjustment Analytics Consultant

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Develop analytical strategies and solutions aimed at enhancing Medicare Risk Adjustment (RA) performance.

• Provide actionable insights and create dynamic visualizations.

• Offer strategic advisory services to internal stakeholders and senior leadership.

• Examine revenue optimization, risk forecasts, HCC coding logic, RADV audits, Medicare segmentation, and data & logic governance.

• Create interactive visualizations and interpret updates from the CMS model.

⛳️ Requirements

• Bachelor's degree and 8 years of experience in health care services, statistical analysis, or the insurance industry, or a related field; OR a Master's degree with 6 years of experience; OR a PhD with 4 years of experience; OR 12 years of experience in health care services, statistical analysis, or the insurance industry, or a related field.

• Strong analytical abilities and proficiency in programming languages such as SQL, Python, R, etc.

• Capability to design a dynamic and visually appealing dashboard using data visualization tools like Tableau or Power BI.

• Exceptional communication and presentation skills.

• Ability to work autonomously as well as collaboratively within a team.

• Proficient in managing multiple analytical projects simultaneously.

🏝️ Benefits

• Comprehensive health and wellness benefits.

• 401(k) savings plan.

• Pension plan.

• Paid time off.

• Paid parental leave.

• Disability insurance.

• Supplemental life insurance.

• Employee assistance program.

• Paid holidays.

• Tuition reimbursement.