Medicare Advantage Risk Adjustment Business Data Analyst

Description

As the Business Data Analyst for our Medicare Advantage Risk

Adjustment team, you will be responsible for producing accurate and insightful

department measurements used in both internal and external reporting.

You will :

• Ensure data quality and accuracy through

rigorous assurance checks.

requests to scheduled production reports.

queries for healthcare performance measures.

and translate them into effective reports and data integration projects.

periodic updates on weekly, monthly, quarterly, or annual cycles.

Services and Health Outcome & Analysis teams to transition ongoing reports

into production environments.

verbal specifications, ensuring a comprehensive understanding of data

relationships across encounters, claims, membership, and provider databases.

healthcare measures from organizations such as CMS, DHCS, NCQA, and others.

application use related to risk adjustment coding guidelines and gap closure

reporting.

Salary Range : $78,500 - $163,600 / annually Qualifications We are seeking an analytical, self-directed, detail-oriented individual

with :

degree in an IT related field or equivalent experience

degree in related field, preferred

in healthcare IT experience, highly desired

of experience with Epic Clarity reporting

experience building and maintaining Tableau dashboards

experience generating reports using healthcare data, with a focus on

encounter / claims, membership, and provider datasets, required

understanding of common healthcare measurement frameworks and definitions,

including Risk Adjustment HCC models from CMS, required

analytical and problem-solving capabilities

work independently with minimal supervision while managing priorities

effectively.

communication skills to engage with stakeholders across all levels and gather

clear requirements.

ability to set, track, and meet goals within established timelines.

in SQL programming, particularly on MS SQL Server and Oracle platforms,

required

with statistical methods and their application in data analysis, required

data warehouse architecture, data structures, and best practices in reporting.

understanding of healthcare industry standards, workflows, policies,

procedures, and system environments.

metadata management skills with the ability to analyze complex datasets.

translating business questions and requirements into actionable reports,

database views, and BI query objects.