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Medicare Risk Adjustment Data Specialist

3 months ago


Québec, Quebec, Canada Reveleer Full time

Medicare Risk Adjustment Data Specialist

Remote Opportunity

Reveleer is a pioneering healthcare analytics firm that leverages Artificial Intelligence to empower health plans across various sectors with enhanced control over their Quality Improvement, Risk Adjustment, and Member Management initiatives. Our comprehensive platform allows health plans to autonomously manage every facet of enrollment, provider engagement, data collection, coding, abstraction, reporting, and submissions. By utilizing proprietary technology, extensive data resources, and industry expertise, Reveleer delivers thorough record retrieval and review services, enabling health plans to effectively strategize and implement risk, quality, and member management programs for improved value and outcomes.

Key Responsibilities in Risk Adjustment Data:

  • Conduct comprehensive analysis on data presented in tabular formats or natural language
  • Independently identify issues, design solutions, and perform analyses
  • Collaborate with product managers, data scientists, and data engineers in an Agile, technology-focused environment
  • Assist data scientists with in-depth data analysis
  • Create internal data reports for various stakeholders
  • Deliver presentations to stakeholders, including senior management

Qualifications:

  • A minimum of 3 years of experience in Medicare Risk Adjustment analytics
  • Strong analytical capabilities and critical thinking skills
  • Proficient in SQL with experience in querying large datasets
  • Solid statistical skills for analyzing extensive data
  • Experience in data wrangling and visualization techniques
  • Aptitude for building trust with business stakeholders and effectively communicating insights
  • Ability to convey analytical findings to diverse business stakeholders, including senior leaders
  • Self-driven with the capability to work independently
  • Ability to meet deadlines consistently

Preferred Qualifications:

  • Familiarity with data visualization tools (e.g., Looker, Tableau, Power BI)
  • Background in actuarial science
  • Experience in generating automated reports
  • Knowledge of ETL processes
  • Proficiency in Excel
  • Experience with processing JSON files
  • Familiarity with cloud technologies (AWS preferred)
  • Experience in SaaS environments
  • Capability to design and optimize data models

What We Offer:

  • Competitive salary
  • Comprehensive Medical, Dental, and Vision benefits, including HSA/FSA options
  • 401k plan with Employer Match
  • Fully paid short-term and long-term disability insurance
  • Paid Time Off (PTO) and 10 paid company holidays

Salary Range:
$120,000 - $140,000 annually

Our compensation structure reflects the labor market across various US regions. Pay is determined by multiple factors, including market location, and may vary based on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer, committed to diversity and inclusion. We do not discriminate based on race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status, or genetic information, in accordance with applicable federal, state, and local laws.