Power BI

The Risk Adjustment Data Analyst supports Community First Health Plans’ Risk Adjustment program through data analysis, reporting, medical record retrieval, and performance monitoring activities. Coordinates with internal departments, provider networks, and external vendors to ensure accurate and timely collection, analysis, and reporting of risk adjustment data. Utilize health informatics and analytics tools to identify trends, monitor key performance indicators, support Hierarchical Condition Category (HCC) capture, and improve risk adjustment outcomes. Assists with medical record retrieval initiatives, data validation, provider performance analysis, and regulatory reporting to ensure compliance with CMS requirements and organizational goals., Operations Databricks Decision Making Customer Service Machine Learning Business Valuation Business Objectives Statistical Methods Exception Reporting Full Stack Development Artificial Intelligence Business Transformation Snowflake (Data Warehouse) Customer Information Systems +0 Data Security Analyst TEKsystems

Philadelphia, PA*Remote

Planning Auditing Operations Management Risk Analysis Data Security Database Design Computer Science Systems Analysis Security Policies Business Valuation Corporate Security Security Awareness Business Expansion Information Systems Full Stack Development Artificial Intelligence Application Development Business Transformation SQL (Programming Language) Credit/Debit Card Processing Enterprise Application Software Payment Card Industry (PCI) Data Security Standards +0

Microsoft Excel Medical Records Data Validation Health Informatics Performance Analysis Healthcare Analytics Electronic Medical Record Medical Coding Certification Healthcare Industry Knowledge Key Performance Indicators (KPIs) Certified Coding Specialist (CCS) Certified Professional Coder (CPC) Certified Health Data Analyst (CHDA), Bachelor’s degree in a related field preferred. Two (2) years of experience in healthcare data analysis and medical record retrieval required. Experience in Risk Adjustment, managed care, health plan operations, or healthcare analytics preferred. Knowledge of healthcare data, electronic health records (EHRs), and medical record retrieval processes preferred. Proficiency in Microsoft Excel and strong analytical, organizational, and communication skills required. Ability to work effectively with providers, vendors, and cross-functional teams., Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Coding Specialist - CCS and/or data analytics certification (e.g., CHDA, Microsoft Power BI Data Analyst Associate) within two (2) years of employment, based on the requirements of their role.

TEKsystems

Sunrise, FL*Remote

Typing Billing Research Operations Data Entry Managed Care Data Analysis Data Management Customer Service Claims Processing Business Valuation Full Stack Development Artificial Intelligence Business Transformation Provider Data Management Medical Office Procedures