Data Analyst, Risk Adjustment

Job Description

Work Boldly. Live Brilliantly.

At AltaMed, we don’t just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It’s the calling of our lives and it compels us to keep moving forward.

Job Overview

The Data Analyst, Risk Adjustment position is responsible for managing data used to support Altura’s HCC / RAF programs. Primary responsibility is the maintenance and enhancement of an integrated network of databases used to gather multiple sources of data. This includes coordination with department and / or Analytics team to refine and / or develop ETL processes to ensure databases are kept current. Secondary responsibility is providing support for department and others to troubleshoot data issues in HCC / RAF applications and reports. The Data Analyst will also document data flows and data content of databases used for reporting.

Minimum Requirements

1. Bachelor’s degree required.

2. Minimum of 1 year experience working the healthcare data, including knowledge of clinical coding systems (e.g., ICD-10, CPT, HCPCS, REV codes….) required.

3. Minimum of 1 year experience working with Excel pivot tables and / or SQL queries required.

4. EPIC, EZ-Cap, and / or Cozeva preferred.

5. Experience with the Medicare risk model, knowledge of CMS guidelines and Risk Adjustment processing preferred.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance