Senior Analyst, Medical Economics – Stars and Risk Adjustment

Monogram Health

Senior Analyst of Medical Economics at Monogram Health working with Star Ratings and Risk Adjustment documentation. Collaborating with teams to drive performance improvement and data insights.

Posted 5/12/2026full-timeRemote • 🇺🇸 United StatesSeniorWebsite

Tech Stack

Tools & technologies

PythonSQL

About the role

Key responsibilities & impact

Develop and maintain standardized Stars and Risk Adjustment reporting using internal data sources and CMS files within Databricks and Power BI
Lead code development and end-user dashboard creation, applying subject-matter expertise to meet defined business needs
Serve as a subject matter expert on Risk Adjustment data sources, including MAO-004, 837, MMR, and MOR files
Present internal overviews and detailed analytical findings to stakeholders to ensure alignment and clarity on next steps
Analyze data to identify trends, performance opportunities and develop actions plans to address gaps
Build a deep understanding of clinical workflows and collaborate to enhance processes that support departmental efficiency and effectiveness
Partner with internal teams to share insights that may influence underwriting, contracting, operations and other business areas
Support the growth of direct and matrixed team members by fostering knowledge‑sharing and sustainable progress toward departmental goals

Requirements

What you’ll need

Bachelor’s degree required; Master’s degree in healthcare or a related field, or actuarial certification (FSA/ASA in progress of completed) preferred
Minimum of two (2) years of experience in Medicare Advantage Stars or Risk Adjustment analytics
Proficiency in SQL, R, and Python; experience working with large enterprise data warehouses; strong ability to build, modify and optimize data tables; intermediate-to-advanced Power BI skills, including complex DAX and data modeling
Knowledge of CMS Risk Adjustment and Stars data sources (MAO-004, 837, MMR, MOR)
Ability to translate data into clear, actionable insights
Communication skills and ability to collaborate in a matrixed environment and influence others to drive outcomes

Benefits

Comp & perks

Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

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Hard Skills & Tools

SQLRPythonPower BIDAXdata modelingdata analysisdata optimizationdata warehousingreporting

Soft Skills

communicationcollaborationinfluencinganalytical thinkingproblem-solvingleadershipknowledge-sharingstakeholder engagementteam developmentprocess enhancement

Certifications

Bachelor's degreeMaster's degree in healthcareactuarial certification (FSA/ASA)