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Senior Risk Adjustment Analyst
Elevance HealthSenior Risk Adjustment Analyst conducting advanced data analysis and building reporting for Elevance Health. Focus on Medicare Advantage risk adjustment and predictive modeling initiatives.
Tech Stack
Tools & technologiesSQLTableau
About the role
Key responsibilities & impact- Conduct advanced data analysis
- Build and maintain HCC performance reporting
- Support predictive modeling initiatives
- Monitor vendor performance
- Design, develop, and maintain risk adjustment performance dashboards and reports using Power BI, Tableau, or equivalent tools to monitor KPIs
- Write and optimize complex SQL queries to extract, transform, and analyze large datasets
- Support the development and validation of predictive models for HCC suspecting, risk score forecasting, and provider performance stratification
- Prepare and present analytical findings, trend analyses, and performance summaries to key internal stakeholders
- Mentor junior analysts and coordinators
- Maintain active relationships with customers to determine business requirements
Requirements
What you’ll need- Requires an BA/BS degree in Information Technology, Computer Science or related field of study
- Minimum of 5 years experience with multi platform, two or more BI applications and/or multiple Business Intelligence tools required
- Medicare Advantage or commercial Risk adjustment data analysis experience is a must have
- SQL experience strongly preferred
- Intermediate Excel experience preferred
- Power BI experience is nice to have
Benefits
Comp & perks- Health insurance
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
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Hard Skills & Tools
data analysispredictive modelingSQLExcelPower BITableaurisk adjustmentKPI monitoringdata extractiondata transformation
Soft Skills
mentoringcommunicationrelationship managementpresentation skillsanalytical thinking