Data Scientist - Risk Adjustment

Job Description

Job Description

About This Role

As a Risk Adjustment Data Scientist at myPlace Health, you’ll do more than work with numbers—you’ll help shape how we care for the communities we serve. In this role, you’ll partner closely with business, clinical, and operational leaders to uncover high-value challenges and design innovative, data-driven solutions. You’ll build predictive models, develop scalable data pipelines, and transform complex healthcare data into clear insights that guide critical decisions.

Your work will directly influence provider engagement, improve documentation and coding accuracy, and ensure compliant, data-driven risk adjustment submissions. By creating dashboards and tools that make data accessible and actionable, you’ll empower teams across the organization to deliver better outcomes for the participants who rely on us every day.

What Does Success Look Like In This Role?

• Shape High-Impact Solutions : Partner closely with our business and clinical leaders to uncover the most valuable challenges in risk adjustment and craft innovative, data-driven solutions that make a real difference in participant care.
• Bring Data to Life : Design and deploy predictive models that estimate risk scores and highlight anomalies across patient populations—empowering smarter, more proactive care.
• Build Strong Data Foundations : Contribute to robust data pipelines and scalable model infrastructure in Microsoft Fabric—integrating both structured and unstructured data to support our growing organization.
• Collaborate to Deliver : Work hand-in-hand with Product and Operations teams to create production-ready models using version-controlled workflows, CI / CD practices, and cloud environments that ensure reliability and agility.
• Illuminate the Journey : Track and analyze the full lifecycle of risk-adjustment submissions—including encounter data, EDPS, and RAPS—leveraging knowledge of CMS documents (MAO-004, MOR, MMR) to ensure accuracy and compliance.
• Turn Data Into Stories : Build intuitive dashboards in Power BI that transform complex data into clear, actionable insights for leaders and decision-makers across the organization.
• Drive Better Engagement : Monitor physician performance in risk-adjustment workflows, surfacing trends in documentation practices and coding accuracy while identifying opportunities for education and workflow optimization.
• Standardize for Scale : Develop consistent documentation logic, definitions, and reporting workflows that enable enterprise-wide analytics and improve operational efficiency.
• Simplify the Complex : Translate intricate data findings into meaningful, actionable insights that Operations, Clinical, and Finance teams can easily understand and apply.
• Pitch In Where Needed : Contribute to additional projects and priorities as they arise—bringing a collaborative mindset and problem-solving approach to new challenges.

What Does An Ideal Candidate Look Like?

The Fine Print

Physical Requirements

What’s In It for You?

At myPlace Health, we believe that when we take exceptional care of our people, they can take exceptional care of our participants. That’s why we’ve built a comprehensive, people-first rewards package designed to support your well-being—professionally, financially, and personally.

Here’s a snapshot of what you can look forward to :

Competitive Pay & Total Rewards

We offer a strong base salary along with a total rewards package that reflects your experience, education, certifications, and the location of your role. For onsite roles, we adjust pay based on local markets; remote roles are aligned to national pay benchmarks.

Performance-Based Incentives

Our industry-leading incentive plan recognizes your contributions and rewards success based on the performance of both your team and the organization.

Ongoing Growth & Feedback

You’ll receive two performance reviews per year (when applicable), giving you the chance to grow, reflect, and celebrate your achievements.

Plan for Your Future

Take advantage of our 401(k) plan with an employer match—because your future matters.

Health Coverage that Fits Your Life

Choose from six medical plans, with up to 80% of premiums covered for employees and 75% for dependents.

More Than Just Medical

We’ve got you covered with dental and vision insurance, FSA / HSA options, short- and long-term disability, basic life insurance, and additional benefits like accident, critical illness, and hospital indemnity coverage.

Generous Time Off

Recharge with 20 days of PTO to start, 12 paid holidays, and 2 floating holidays each year.

Support for Your Learning

We prioritize your professional development with a generous CME / CEU budget, dedicated time off for learning, and ongoing growth opportunities.

Family Comes First

Our family-friendly culture includes paid parental leave and a child care stipend to help support you at home.

Join Us and Make an Impact

At myPlace Health, you’ll do more than work with data—you’ll turn insights into action that improves lives every day. If you’re excited to apply your expertise in a collaborative, mission-driven environment where innovation meets purpose, we’d love to hear from you. Bring your curiosity, your skills, and your passion for problem-solving, and help us shape the future of care for the seniors who need it most.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.