Senior Risk Adjustment Analyst
PacificSource Health Plans(1 month ago)
About this role
The Senior Risk Adjustment Analyst ensures accurate and comprehensive submission of risk adjustment and quality data to regulatory entities (e.g., CMS). The role optimizes risk scores and HEDIS performance through data analysis, reporting, vendor oversight, and cross-functional collaboration, while mentoring junior analysts and advising leadership on process improvements.
Required Skills
- Risk Adjustment
- Data Analysis
- SAS
- SQL
- Excel
- Reporting
- Data Validation
- Project Leadership
- Regulatory Compliance
- HEDIS
+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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