Risk Adjustment Healthcare Analyst

The Risk Adjustment Healthcare Analyst (P3) is a senior-level individual contributor responsible for delivering complex, high-impact analytics and reporting that supports the organization’s Risk Adjustment strategy. This role translates healthcare and claims data into actionable insights that inform financial performance, coding accuracy, and regulatory compliance. Operating with minimal supervision, the analyst independently owns assigned analytics and reporting deliverables and serves as a trusted analytical resource to cross-functional partners including actuarial, finance, clinical, and operational teams. The role requires strong applied analytics expertise, solid understanding of CMS risk adjustment methodologies, and the ability to clearly communicate insights to diverse audiences.