Join our client’s Medicare Advantage Risk Management team and play a crucial role in analyzing and interpreting healthcare data. This position offers a unique opportunity to impact risk adjustment programs while collaborating with key stakeholders across the healthcare industry. If you thrive in a fast-paced, data-driven environment where your insights can drive meaningful improvements, this role is for you!
Benefits & Extras
* High-Impact Role – Directly contribute to risk adjustment initiatives.
* Collaborative Team Environment – Work with analysts, coders, and business leaders.
* Cutting-Edge Tools – Utilize SQL, Tableau, and other reporting platforms.
* Professional Growth – Expand your expertise in Medicare Advantage and risk management.
Compensation: $35/hr – $43/hr
What You’ll Be Doing
* Analyzing payer-shared healthcare data, focusing on medical conditions and ICD codes.
* Ensuring accurate, timely reporting of findings to payer organizations.
* Collaborating with cross-functional teams to translate business objectives into clear data insights.
* Working with medical coders to ensure accurate classification of provider services.
* Utilizing SQL, Tableau, and Excel to generate reports and visualizations.
* Supporting process improvements in data reporting and risk management.
* Maintaining compliance with internal and external regulatory standards.
What You’ll Need to be Considered
* Ability to interpret and analyze healthcare data without overcomplicating findings.
* Strong proficiency in SQL, Tableau, and Excel.
* Experience working with medical coding (ICD codes) in a payer environment.
* Excellent communication skills for translating complex data insights into clear reports.
* A self-starter attitude with a focus on meeting deadlines.
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