Risk Adjustment Data Analyst
Share
Job Location:
Nashville, IN - USA
Monthly Salary:
$ 76600 - 88000
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Who You Are
Youre a collaborative professional driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare dont deter youinstead you see them as opportunities to find innovative solutions that benefit the partners people and communities we serve. Honest Healths commitment to purpose innovation communities and kindness resonates with you inspiring you to bring commitment creativity and compassion into your work. Youre ready to join a team focused on reimagining primary care for a healthier future that benefits all.
Does this sound like you If so we should talk.
Who We Are
At Honest Health we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholdersfrom health systems physician organizations and payers to providers practices and patients to deliver innovative solutions that elevate care control costs and support long-term health. Guided by our core values were creating a value-driven model that creates lasting benefits for everyone now and into the future.
For us thats just an Honest days work.
Your Role
The Risk Adjustment Data Analyst will develop and maintain data processes and analytics related to the Centers for Medicare & Medicaid Services (CMS) -Hierarchical Condition Categories (HCC) risk adjustment model for the Medicare population. The Risk Adjustment Data Analyst will be responsible for ensuring that risk scores are accurately calculated and all updates from CMS are applied to the CMS HCC Risk Adjustment model. This position will use a suite of tools to implement risk score calculation develop actionable insights develop risk score forecasts and create dashboards/reporting and optimize existing processes.
Primary Functions of the Risk Adjustment Data Analyst Include:
- Calculate risk scores for each Honest member using CMS HCC risk adjustment model and maintain model to account for any changes made by CMS.
- Develop SQL processes to automate risk score runs that integrate data from a multitude of datasets.
- Evaluate project performance and identify value drivers for risk adjustment initiatives and programs.
- Develop processes to calculate and automate key performance indicator (KPI)s specific to risk adjustment as well as effectively communicate KPIs to internal stakeholders.
- Work closely with internal teams (Actuarial Health Economics and Finance) to provide data and insights necessary for financial forecasts and projections.
- Build risk adjustment dashboards and automated reporting in Tableau for internal and external stakeholders.
- Work closely with performance management and reporting teams to provide data and reporting necessary for practice and provider scorecards.
- Perform other related responsibilities as assigned.
How You Qualify
You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.
- Bachelors degree in analytics computer science engineering economics or a related quantitative field required
- Masters degree in analytics or computer science is considered a plus
- Advanced data manipulation skills with 3 years of SQL experience
- 3 years of data analytics experience delivering actionable insights
- Advanced MS Excel skills with 3 years of experience
- Experience working with large healthcare datasets strongly preferred
- Experience using data visualization software (Tableau or Power BI) to build automated reporting and dashboards
- Medicare and/or Risk Adjustment experience/knowledge preferred
- Excellent analytical planning organization and problem-solving skills with the ability to clearly communicate complex ideas.
- Ability to effectively multitask in a dynamic and fast-paced environment
The base pay range for this role is $76600.00 - $88000.00. Compensation takes into account several factors including but not limited to a candidates experience education skills licensure and certifications and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.
How You are Supported
Full time team members may be eligible for:
Competitive Compensation
- Attractive base salary with performance-based bonuses and rewards
- 401(k) plan with a generous company match fully vested from day one
Comprehensive Health and Wellness Benefits
- Flexible health dental and vision insurance options tailored to your needs
- Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants
- 100% company-paid short-term disability and life insurance
- Wellness programs and resources to support your physical and mental health
Work-Life Balance
- Generous paid time off including vacation sick leave and paid holidays annually
- Two paid volunteer days to support causes youre passionate about
- Flexible work arrangements to accommodate your lifestyle
Professional Development
- Robust onboarding program and ongoing training opportunities
- Reimbursement for role-related continuing education and certifications
Family-Friendly Policies
- Paid parental leave for new parents
- Dependent care flexible spending accounts
- Support for work-life integration
Collaborative and Purpose-Driven Environment
- Work alongside professionals who share your commitment to Honests high-quality value-based care model
- Opportunities to contribute to meaningful projects and initiatives
Additional Perks
- Team member recognition programs
- Team-building events and social activities
Join us and experience a rewarding career where your contributions are valued and your growth is supported.
Honest Health is committed to ensuring fairness opportunity strong teams and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit without regard to race color religion sex national origin disability Veteran status or other legally-protected characteristics.
Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email for assistance. Reasonable accommodation will be determined on a case-by-case basis.
Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform email or text message. When working directly with candidates Honest Health will always use an email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended.
To safeguard your personal information Honest Health will never ask for confidential detailssuch as social security numbers bank accounts or routing numbersbefore making a formal offer. We will also never request financial transactions PINs passwords or security access details through email text Venmo or any social media platform.
We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication please reach out to our team at.
Required Experience:
IC
Key Skills
- ISO 27001
- Microsoft Access
- Risk Management
- Financial Services
- PCI
- Risk Analysis
- Analysis Skills
- COBIT
- NIST Standards
- SOX
- Information Security
- Data Analysis Skills
