(Archived) Senior Risk Adjustment Data Analyst (Full Time- Remote)

Job Description:

The Senior Data Analyst will be responsible for data interpretation, providing business and technical guidance and recommendations to internal and external stakeholders.

Duties and responsibilities:

· Perform data analytics to ensure data accuracy. (business and technical compliance).

· Performed analytics using government program or other internal/external data.

· Responsible to stage internal/external data and present any exceptions or findings to stakeholders.

· Responsible for Data Mining, Mapping, Analysis, Transforming, Cleaning, Manipulating and Reporting throughout all form of Healthcare data.

· Identify data trends and patterns and present findings.

· Produce summaries of key data populations.

· Responsible for producing final data mapping documentation and requirements.

· Provide guidance to Data Operation Dept.

· Responsible for support and answer business questions and provide guidance to internal teams and/or customers.

Qualifications:

3+ years of experience in Risk Adjustment Experience is required.

5+ years’ of experience in Data Mining, Mapping, Analysis, Transforming, Cleaning, Manipulating and Reporting. 3+ years’ of experience in Healthcare Data Analyst role including familiarity with Claims and Encounters, Rx-Claims, Eligibility, CMS data like MMR, MOR.

Minimum of a BA/BS degree - preferred but not required in Mathematics, Computer Engineering, IT, or related fields. Comparable experience will be considered for qualified candidates

· 5+ years of experience in Microsoft SQL queries including ability to write complex queries to process and view data.

· Strong attention to detail, excellent oral and written skills and be able to collaborate effectively with direct and indirect reports is a must.

· The Candidate must be proficient in MS SQL Server platform, preferably in Management Studio, must have hands on experience in transforming, cleaning, and manipulating raw data and have hands on experience with Microsoft SQL including ability to write complex queries to process and view data.

A strong candidate would be the one who can take raw healthcare data and convert it into a actionable business decision making information.

· Client/Executive Facing Experience is preferred.

· Experience with Business Intelligence Tool will be a plus.

Working conditions:

Position will be remote but may require occasional travel to the corporate office in Orange County, CA.