The Senior Risk Adjustment Analyst is responsible for ensuring accurate risk adjustment metrics through analysis, investigation, and interpretation of CMS and HHS methodologies.
They perform complex data extraction, report development, and process optimization to support risk score calculations, ACA enrollment, and provider data management.
The role involves collaborating across departments, developing dashboards, monitoring financial impacts, and supporting project management efforts.
Qualifications include 5+ years of data analysis experience, proficiency in SAS, SQL, VBA, and understanding of CMS risk score methodologies. The position offers a hybrid work model in the Baltimore/Washington area, with salary ranging from $64,080 to $127,270.