Risk Adjustment Data Analyst

Job Description

Job Description

Who You Are

You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health's commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You're ready to join a team focused on reimagining primary care for a healthier future that benefits all.

Does this sound like you? If so, we should talk.

Who We Are

At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we're creating a value-driven model that creates lasting benefits for everyone, now and into the future.

For us, that's just an Honest day's work.

Your Role

The Risk Adjustment Data Analyst will develop and maintain data processes and analytics related to the Centers for Medicare & Medicaid Services (CMS) -Hierarchical Condition Categories (HCC) risk adjustment model for the Medicare population. The Risk Adjustment Data Analyst will be responsible for ensuring that risk scores are accurately calculated and all updates from CMS are applied to the CMS HCC Risk Adjustment model. This position will use a suite of tools to implement risk score calculation, develop actionable insights, develop risk score forecasts, and create dashboards / reporting, and optimize existing processes.

Primary Functions of the Risk Adjustment Data Analyst Include :

• Calculate risk scores for each Honest member using CMS HCC risk adjustment model and maintain model to account for any changes made by CMS.
• Develop SQL processes to automate risk score runs that integrate data from a multitude of datasets.
• Evaluate project performance and identify value drivers for risk adjustment initiatives and programs.
• Develop processes to calculate and automate key performance indicator (KPI)'s specific to risk adjustment as well as effectively communicate KPI's to internal stakeholders.
• Work closely with internal teams (Actuarial, Health Economics, and Finance) to provide data and insights necessary for financial forecasts and projections.
• Build risk adjustment dashboards and automated reporting in Tableau for internal and external stakeholders.
• Work closely with performance management and reporting teams to provide data and reporting necessary for practice and provider scorecards.
• Perform other related responsibilities as assigned.

How You Qualify

You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.

The base pay range for this role is $76,600.00 - $88,000.00. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.

How You are Supported

Full time team members may be eligible for :

Competitive Compensation

Comprehensive Health and Wellness Benefits

Work-Life Balance

Professional Development

Family-Friendly Policies

Collaborative and Purpose-Driven Environment

Additional Perks

Join us and experience a rewarding career where your contributions are valued and your growth is supported.

Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally-protected characteristics.

Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email talent@honesthealth.com for assistance. Reasonable accommodation will be determined on a case-by-case basis.

Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform, email, or text message. When working directly with candidates, Honest Health will always use an HonestHealth.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended.

To safeguard your personal information, Honest Health will never ask for confidential details—such as social security numbers, bank accounts, or routing numbers—before making a formal offer. We will also never request financial transactions, PINs, passwords, or security access details through email, text, Venmo, or any social media platform.

We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reach out to our team at talent@honesthealth.com.