Senior Risk Adjustment Analyst
PacificSource Health Plans(1 month ago)
About this role
The Senior Risk Adjustment Analyst at PacificSource is responsible for ensuring accurate and comprehensive regulatory data submissions for risk-adjustable populations by leveraging applicable risk models and analytic tools. The role involves leading projects, collaborating with internal and external partners (including provider and vendor partners), and informing leadership decisions to improve risk adjustment and quality outcomes. The position also provides mentorship to junior analysts and maintains compliance with CMS regulations and related standards.
Required Skills
- Risk Adjustment
- Data Analysis
- SAS
- SQL
- Excel
- Reporting
- Project Management
- Compliance
- HEDIS
- CMS Regulations
+4 more
Qualifications
- Bachelor's Degree in Mathematics, Statistics, or Health Informatics
- Advanced Degree (Preferred)
About PacificSource Health Plans
pacificsource.comPacificSource offers health insurance plans for individuals, families, and employers. A Northwest not-for-profit, we put members first.
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