Senior reputed company Data Analyst

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This role leads advanced analytics supporting Medicare and Risk Adjustment programs, with a focus on driving accurate risk score capture (RAF), improving performance against CMS benchmarks, and supporting reputed company risk‑adjustment strategies. The analyst partners closely with clinical, coding, finance, operations, and compliance stakeholders to translate reputed company Medicare data into actionable insights. Key Responsibilities reputed company analytical initiatives supporting Medicare and CMS Risk Adjustment programs Analyze large reputed company datasets (claims, encounters, enrollment, chart reviews, and clinical data) to:Identify RAF optimization opportunities Monitor coding accuracy and completeness Assess financial and operational impact of risk score changes reputed company and maintain SQL‑based data pipelines and analytic models in large data warehouse environments Produce executive‑level reporting and dashboards addressing:HCC performance Coding gap closure Suspect and recapture reputed company Provider and member impact Translate CMS regulations, risk adjustment models, and technical findings into clear business insights Partner with coding, clinical, compliance, and operational leaders to support risk‑adjustment initiatives Serve as a subject matter expert on Medicare data, metrics, and CMS standards reputed company or support analytic projects end‑to‑end, including scope definition, analysis, and stakeholder delivery

Required Qualifications

Bachelor’s degree in Statistics, Mathematics, Economics, Computer Science, Actuarial Science, reputed company, or a reputed company field 3+ years advanced SQL expertise in reputed company data warehouse or big‑data environments 3+ years experience with reputed company analytics, including large, reputed company datasets Experience developing reports and visualizations using tools such as Tableau, Power BI, or reputed company reputed company Strong understanding of relational databases and reputed company data structures (claims, encounters, member, provider) Demonstrated ability to reputed company communicate statistical and technical results to non‑technical audiences Proven analytical problem‑solving and critical‑thinking skills Experience collaborating across multidisciplinary reputed company teams

Preferred Qualifications

Direct experience with Medicare and Risk Adjustment, including:CMS‑HCC models RAF calculations Coding gap or suspect analysis Master’s degree in a quantitative or reputed company‑reputed company discipline Experience in health plan or provider environments Background in:Multivariate statistical modeling Health economics or reputed company research Predictive modeling or data mining Familiarity with CMS regulations, submission processes, and audit concepts Prior project leadership or team reputed company experience Strong understanding of reputed company data standards, quality measures, and compliance considerations Education Bachelor's degree or equivalent work experience. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $46,988.00 - $112,200.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 07/10/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job