ESR Healthcare
Job Description:Sr. Data Analyst/Risk Adjustment – US RemoteRemote – United StatesFull-time regularbThe Risk Adjustment Sr Data Analyst is an experienced analyst possessing a deep understanding of the Risk Adjustment business domain and is skilled at data modeling and analysis and identifying and communicating insights to stakeholders. You will be joining a team that is focused on ensuringthe work we do for our customers is of the highest quality and yields positive outcomes. To achieve this, you will leverage a wide array of data and technology for analytics and partner with various internal and external stakeholders to understand business objectives and deliver results.As a Sr. Data Analyst, you will:Take ownership of complex data workflows, build scalable analytics pipelines, and contribute to productizing insights using modern data tools such as SQL, dbt, Airflow, Snowflake, and DatabricksAnalyze large datasets to identify trends, patterns, and insights about coding output to enhance productivity and quality, and turn those needs into actionable reportingProvide real-time data insights to business on-demand through ad-hoc queriesUse your technical skills and experience to streamline ad-hoc analyses into reusable data products where possibleCollect, interpret, and aggregate data from multiple data sources for supporting risk adjustment medical record coding and quality processesDesign, develop, test, and deploy reporting to support risk adjustment business users needsAutomate reporting and analytics when appropriate to make more scalable across customers and deliverable to a broader set of stakeholdersIdentify trends in the reporting and work to partner with the teams to improve productivity and quality.Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and return on investment based on historical data and project variablesWork closely with cross-functional teams, including clients, to understand business needs, and determine the right methodology for analysis and assumptions to provide data-driven insights into program performance and partnershipsCreate clear and concise reports to communicate findings and insights to both technical and non-technical stakeholdersStay abreast of industry trends, new technologies, and methodologies to enhance the team’s analytical capabilitiesHelp guide, mentor and train other junior analysts in support of their direct managerWhat you will bring to the table:Experienced (5+ years or more) in data analysis, database technologies (Oracle/MS SQL Server, Snowflake, Databricks), SQL queries, MS Excel, Python, etc.Deep understanding of and experience in Risk Adjustment (MA, ACA and MD) business analytics with knowledge of different risk models including HCC, RxHCC, HHS-HCC and CDPSIntermediate proficiency in SQL (advanced analytic queries), Python (data manipulation and automation, streamlit, etc.), spreadsheets and BI toolsExperience analyzing risk adjustment data for trends, disease/diagnosis prevalence and hierarchyExperience managing data flows for chart retrieval, RA coding, HEDIS abstraction and qualityAbility to build, architect and deliver robust customer facing and internal reportsExperience in building queries to collect and interpret raw data from databases to support risk adjustment coding and medical recordExperience in using business intelligence, data visualization, query, analytic and statistical software to build solutions, perform analysis and interpret data (SSRS, Power BI, Tableau, Looker, Sigma)Strong problem-solving skills with the ability to think critically and provide data-driven solutionsExpertise in the data cleaning, preprocessing, manipulation, integration, processing and interrogation of large datasetsExceptional initiative and ability to solve problems independently, seek help when needed, and take ownership when navigating ambiguityExcellent communication skillsWell-developed time management skills and demonstrable experience of prioritizing work to meet tight deadlines for client deliverablesBonus points if:An appreciation of the need for effective data privacy and security methods and an awareness of the relevant legislationExperience with cloud services for storage and computingExperience with machine learning algorithmsKnowledgeable in health plan operations and reportingWorking Place:NYC, New York, United StatesCompany :ESR Healthcare