Allscripts

Sr Healthcare Risk Adjustment Analyst - Remote


PayCompetitive
LocationPhiladelphia/Pennsylvania
Employment typeFull-Time

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  • Job Description

      Req#: 6558052003
      Employer Industry: Healthcare Analytics

      Why consider this job opportunity:
      - Comprehensive compensation and benefits package, including medical, dental, and vision insurance
      - Opportunity for career advancement and professional development within the organization
      - Engaging and supportive work environment that values diverse perspectives
      - Work with cutting-edge artificial intelligence technologies to drive impactful healthcare solutions
      - Chance to make a significant contribution to improving healthcare outcomes for various stakeholders

      What to Expect (Job Responsibilities):
      - Develop business cases and requirements for new products and enhancements to support customer risk adjustment goals
      - Lead customer requests for ad hoc reporting or research initiatives
      - Own financial improvement modeling for customers, including various payment types
      - Collaborate with clinicians on outcomes, algorithm performance, and new product development
      - Provide training and guidance on the Risk Adjustment process to internal and external customers

      What is Required (Qualifications):
      - Bachelor’s degree in Actuarial Science, Math, Statistics, or a related field
      - 3 to 5 years of experience analyzing Medicare Advantage, ACA, or Medicaid Risk Adjustment data
      - Experience in developing scalable analytic and reporting solutions
      - Up to 10% travel may be required
      - Extensive knowledge of Risk Adjustment in the healthcare industry

      How to Stand Out (Preferred Qualifications):
      - Familiarity with MA/ACA Risk Scoring methodology and condition categories
      - Experience with actuarial or financial modeling concepts
      - Proficiency in SAS and SQL
      - Background working with large healthcare data sets and CMS files
      - Experience with Snowflake

      #HealthcareAnalytics #RiskAdjustment #DataDrivenSolutions #CareerOpportunities #DiversityAndInclusion

      "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
  • About the company

      Allscripts Healthcare Solutions, Inc. is a publicly traded American company that provides physician practices, hospitals, and other healthcare providers with practice management and electronic health record technology.

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