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Medicare Risk Adjustment Data Specialist
3 months ago
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 oversight of their Quality Improvement, Risk Adjustment, and Member Management initiatives. Our comprehensive platform allows health plans to autonomously manage all facets of enrollment, provider engagement, data collection, coding, abstraction, reporting, and submissions. By utilizing proprietary technology, extensive data resources, and industry expertise, Reveleer offers thorough record retrieval and review services, enabling health plans to strategically implement risk, quality, and member management programs that yield greater value and improved outcomes.
Key Responsibilities in Risk Adjustment Data Analysis:
- Conduct comprehensive analysis on data presented in tabular formats or natural language
- Independently identify issues, design solutions, and perform detailed analysis
- Collaborate with product managers, data scientists, and data engineers in a dynamic Agile environment
- Assist data scientists with analytical tasks
- Create internal data reports for organizational use
- Deliver presentations to stakeholders, including senior management
Qualifications:
- A minimum of 3 years of experience in Medicare Risk Adjustment analytics
- Exceptional analytical and critical thinking abilities
- Proficient SQL skills with experience in querying large datasets
- Strong 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 autonomously
- Proficient in meeting deadlines
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 Software as a Service (SaaS) environments
- Ability to design and optimize data models
Compensation and Benefits:
- 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 several factors, including market location, and may vary based on job-related knowledge, skills, and experience.
Reveleer is committed to equal employment opportunities and does 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.
