Risk Adjustment Data Analyst

Who You Are

You are devoted, compassionate, and enjoy being on the front lines in healthcare, changing the lives of your patients. You are passionate about getting to the root cause of a patient’s conditions, removing social determinants of healthcare, and ensuring the highest possible quality of life for those in your care. You don’t want to sacrifice quality over quantity, and you aim to provide the same level of care and commitment to your patients that you would to your own family member.

Does this sound like you? If so, we should talk.

Who We Are

We are Honest Medical Group, a groundbreaking team of health care professionals focused on making a major impact in health care. At Honest, we align every aspect of our company to support patients and providers. We are devoted to purpose and inspired by innovation. We embrace our communities and lead with kindness. We drive health improvements, create a seamless member experience, and eliminate unnecessary cost. We listen to the needs of our patients and our employees—continually working to push beyond the status quo.

For us, it’s all in an Honest day’s work.

Your Role

The Risk Adjustment Data Analyst will develop and maintain data processes and analytics related to the CMS HCC Risk Adjustment model for the Medicare population. The Risk Adjustment Data Analyst will be responsible for ensuring that risk scores are accurately calculated and all updates from CMS are applied to the CMS HCC Risk Adjustment model. This position will use a suite of tools to implement risk score calculation, develop actionable insights, develop risk score forecasts, and create dashboards/reporting, and optimize existing processes.

Primary Functions of the Risk Adjustment Data Analyst Include:

• Work closely with internal teams (Actuarial, Health Economics, and Finance) to provide data and insights necessary for financial forecasts and projections.
• Calculate risk scores for each Honest member using CMS HCC Risk Adjustment model and maintain model to account for any changes made by CMS.
• Develop SQL processes to automate risk score runs that integrate data from a multitude of datasets.
• Perform other related responsibilities as assigned.
• Build risk adjustment dashboards and automated reporting in Tableau for internal and external stakeholders.
• Evaluate project performance and identify value drivers for Risk Adjustment initiatives and programs.
• Develop processes to calculate and automate KPI’s specific to Risk Adjustment as well as effectively communicate KPI’s to internal stakeholders.
• Work closely with performance management and reporting teams to provide data and reporting necessary for practice and provider scorecards.

How You Qualify

You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.

• Excellent analytical, planning, organization, and problem-solving skills with the ability to clearly communicate complex ideas.
• Experience using data visualization software (Tableau or PowerBI) to build automated reporting and dashboards
• Advanced data manipulation skills, with 3+ years of SQL experience
• Medicare and/or Risk Adjustment experience/knowledge preferred
• Ability to effectively multi-task in a dynamic and fast-paced environment
• Experience working with large healthcare datasets strongly preferred
• Advanced MS Excel skills, with 3+ years experience
• 3+ years of data analytics experience delivering actionable insights
• Bachelor's degree in analytics, computer science, engineering, economics, or related quantitative field
• Master’s degree in analytics or computer science preferred
• Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity

How You Are Supported

• As a team member you’ll be supported by our robust commitment to training and development that starts with onboarding and continues throughout your career with Honest
• Family friendly policies that support paid parental leave and flexible work arrangements
• You will collaborate with like-minded healthcare professionals who, like you, understand the importance and value of Honest’s high-quality, value-based, care model.
• As a part-time team member, you will benefit from Honest’s total rewards package, including competitive base pay with bonuses, pro-rated paid time off, paid holidays, reimbursement for continuing medical education, 401k with match.
• As a full-time team member, you will benefit from Honest’s exceptional total rewards package, including competitive base pay with bonuses, paid time off starting at 4 weeks for full time employees, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match, health, dental, and vision insurance.

Honest is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.

Honest is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email [email protected] for assistance. Reasonable accommodation will be determined on a case-by-case basis.