Medicare Risk Adjustment Advanced Analytics Analyst

Position Details

Employment Type: Full time Anticipated End Date: 2025-08-16 Position Title: Medicare Risk Adjustment Advanced Analytics Analyst

On-Site Requirement

On-Site Requirement: Hybrid 1

• This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
• This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.
• Alternate locations may be considered if candidates reside within a commuting distance from an office.
• Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Job Description

The Medicare Risk Adjustment Advanced Analytics Analyst is responsible for employing advanced analytics to gain critical insights into Medicare risk adjustment performance, retrospective and prospective risk adjustment initiatives, operational effectiveness and efficiencies, provider performance, and population health.

How You Will Make an Impact

Primary duties may include, but are not limited to:

• Analyzes and develops SAS and SQL programming to support Medicare Advantage risk adjustment initiatives.
• Performs data mining and data-driven analyses to evaluate historical program performance and to inform current operating decisions.
• Prepares management reports for risk adjustment related projects.
• Collects and documents reporting and programming requirements from internal and external requestors to ensure that the team is meeting reporting needs and facilitates seamless data transfer.
• Develop ad hoc risk adjustment reports using SAS and SQL as needed.
• Attends and actively participates in internal risk adjustment analytics and risk adjustment operations meetings.
• Participates in peer-to-peer review process to reduce report writing errors and rework.

Minimum Requirements

• Requires MS, MA, or PhD with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science or Operations Research; or any combination of education and experience which would provide an equivalent background.
• Requires working experience with SAS or equivalents analytical tools, Teradata, SQL, or equivalent database tools, and direct experience applying statistical/analytical tools to solve research/practical problems.

Preferred Skills, Capabilities, and Experiences

• 1 year or more of risk adjustment analytics experience for government programs strongly preferred.
• Proficiency in SAS and SQL or experience using other programming languages and an aptitude and desire to learn these programming languages quickly.
• Proven written and verbal communication skills in a collaborative environment.

Salary and Benefits

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $67,412 to $127,728 annually. Locations: Colorado, Illinois, New Jersey, Maryland, Minnesota, and New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill.