Risk Adjustment Analyst

5 days ago


Tarrytown, New York, United States MVP Health Care Full time
About the Role

We are seeking a highly skilled Risk Adjustment Analyst to join our team at MVP Health Care. As a key member of our team, you will be responsible for performing analytics and reporting on Medicare, Commercial Exchange, and Medicaid/HARP member populations.

Key Responsibilities
  • Performing advanced analytics and reporting on large data sets to identify trends and insights
  • Providing analytical support on various prospective and retrospective objectives in population health management
  • Designing targeting strategies based on disparate data sources to identify members with likely risk gaps
  • Providing regular reporting of Risk Adjustment programs and identifying opportunities and obstacles
  • Measuring capture rate of Hierarchical Condition Categories (HCCs) and diagnosis codes related to Risk Adjustment programs
  • Using Clinical Risk Group (CRG) software to target interventions for improved coding
  • Calculating ROIs for Risk Adjustment programs and maintaining regulatory agency requirements
Requirements
  • Bachelor's Degree in Health Administration, Business, Economics, Health Informatics, or related field
  • One year experience in a business or healthcare environment involving the analysis of financial or other large data sets
  • Demonstrated problem-solving, analytical abilities, and ability to work independently with strong attention to detail
  • Intermediate SQL skills, Microsoft Word skills, Microsoft Excel skills, and Data visualization skills
  • Ability to manage multiple projects and produce results within deliverable timelines
What We Offer
  • Competitive compensation and comprehensive benefits package
  • Opportunities for growth and professional development
  • A people-centric culture embracing diverse perspectives and experiences
Location

Remote within New York State



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