Senior Data Analyst, Risk Adjustment - Healthcare
United StatesFull-TimeSenior
Salary not disclosed
Apply NowOpens the employer's application page
Job Details
- Experience
- 2+ years
- Required Skills
- PythonSQLR
Requirements
- 2+ years of experience in Medicare Risk Adjustment and CMS Encounter Data System (EDS) submissions
- 2+ years of experience working with healthcare claims data in an analytical or operational capacity
- Strong programming skills in SQL, Python, and/or R for data analysis and automation
- Experience building operational dashboards and reporting solutions
- Strong understanding of data pipelines, data quality monitoring, and error resolution processes
- Ability to work independently, take ownership of complex workflows, and deliver high-quality results
- Strong communication skills with the ability to collaborate across technical and non-technical teams
- Self-starter mindset with strong motivation to improve processes and deliver measurable impact
Responsibilities
- Monitor and manage end-to-end data flows for CMS Encounter Data System (EDS) submissions to vendors and government agencies
- Own claim and supplemental submission workflows, ensuring accuracy, completeness, and regulatory compliance
- Develop and maintain data pipeline tracking reports to identify, analyze, and resolve encounter data errors
- Collaborate closely with Engineering and Risk Adjustment teams to improve data integrity and operational performance
- Support risk adjustment initiatives by tracking, implementing, and optimizing data-driven strategies
- Build and maintain dashboards and reporting tools to support operational visibility and decision-making
- Develop and update documentation, policies, and procedures related to encounter data processes and governance
View Full Description & ApplyYou'll be redirected to the employer's site
