Medicare Advantage Risk Adjustment Business Data Analyst

As the Business Data Analyst for our Medicare Advantage Risk
Adjustment team, you will be responsible for producing accurate and insightful
department measurements used in both internal and external reporting.

You will:

• Ensure data quality and accuracy through
  rigorous assurance checks.
• Develop and maintain reports, from ad hoc
  requests to scheduled production reports.
• Write clear specifications and design data
  queries for healthcare performance measures.
• Apply technical expertise to gather requirements
  and translate them into effective reports and data integration projects.
• Manage complex data projects that require
  periodic updates on weekly, monthly, quarterly, or annual cycles.
• Collaborate closely with Decision Support
  Services and Health Outcome & Analysis teams to transition ongoing reports
  into production environments.
• Interpret and document detailed written and
  verbal specifications, ensuring a comprehensive understanding of data
  relationships across encounters, claims, membership, and provider databases.
• Develop or apply technical specifications for
  healthcare measures from organizations such as CMS, DHCS, NCQA, and others.
• Serve as a key departmental resource for
  application use related to risk adjustment coding guidelines and gap closure
  reporting.

• A Bachelor's
  degree in an IT related field or equivalent experience
• A Master's
  degree in related field, preferred
• 3-5+ years
  in healthcare IT experience, highly desired
• 3-5+ years
  of experience with Epic Clarity reporting
• 3-5 years of
  experience building and maintaining Tableau dashboards.
• Proven
  experience generating reports using healthcare data, with a focus on
  encounter/claims, membership, and provider datasets, required
• Solid
  understanding of common healthcare measurement frameworks and definitions,
  including Risk Adjustment HCC models from CMS, required
• Strong
  analytical and problem-solving capabilities.
• Ability to
  work independently with minimal supervision while managing priorities
  effectively.
• Excellent
  communication skills to engage with stakeholders across all levels and gather
  clear requirements.
• Demonstrated
  ability to set, track, and meet goals within established timelines.
• Proficient
  in SQL programming, particularly on MS SQL Server and Oracle platforms,
  required
• Familiarity
  with statistical methods and their application in data analysis, required
• Knowledge of
  data warehouse architecture, data structures, and best practices in reporting.
• Extensive
  understanding of healthcare industry standards, workflows, policies,
  procedures, and system environments.
• Strong
  metadata management skills with the ability to analyze complex datasets.
• Skilled in
  translating business questions and requirements into actionable reports,
  database views, and BI query objects.