Data Analyst Specialist
6 days ago
Risk Adjustment Reporting and Data Analyst
About UsMartin's Point Health Care is a pioneering, not-for-profit healthcare organization dedicated to delivering exceptional care and coverage to the people of Maine and beyond. Our mission is to transform the healthcare system while fostering a healthier community.
As a valued member of our team, you'll enjoy an organizational culture built on trust and respect, where our core values are brought to life every day: taking care of ourselves and others, continuous learning, helping each other, and having fun.
Job DescriptionThe Risk Adjustment Reporting and Data Analyst analyzes complex data, reviews findings, and develops actionable recommendations for leadership focused on revenue optimization using third-party software and the Enterprise Data Warehouse as primary sources of data.
This role requires expertise in risk adjustment content knowledge and analytical acumen to educate leaders on accurate revenue optimization from various operational perspectives and levels of analysis.
- Transfers data into meaningful, professional, and easy-to-understand formats for senior leadership
- Reviews data, develops recommendations, and shares findings with senior leadership
- Analyzes and extracts data from the EDW and other sources to report to internal and external stakeholders
- Serves as the liaison between departments, including IT and Finance, for all Risk Adjustment reporting needs
- Troubleshoots EDPS submission and other errors and coordinates resolutions to issues as directed by self, staff, and various levels of leadership
We estimate the salary for this role to be around $90,000 - $120,000 per year, based on industry standards and location. However, please note that this is just an estimate and may vary depending on individual qualifications and experience.
RequirementsTo succeed in this role, you will need:
- A Bachelor's degree in Economics, Finance, Statistics, Mathematics, Actuarial Sciences, or a related quantitative field
- At least 5 years of experience in Medicare risk adjustment analytics, with a Bachelor's degree potentially substituted for specified degree discipline
- Experience in developing cost-benefit and ROI analyses
- Expertise in CMS HCC Risk Adjustment
- Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) preferred
Martin's Point Health Care offers a comprehensive benefits package, including health insurance, retirement plans, paid time off, and more. We prioritize our employees' well-being and provide opportunities for growth and development.
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