Senior Data Analyst - ACA Risk Adjustment (Hybrid)
Resp & Qualifications PURPOSE: The purpose of a Sr. Data Analyst is to support ACA risk adjustment processes, including EDGE server analysis and submission validation. Ensure accuracy and integrity of risk adjustment performance metrics through proactive analysis and validation of data sources including claims, enrollment, provider, and EDGE submissions. Analyze and interpret CMS and HHS risk adjustment methodologies to support risk score calculation and financial performance insights. ESSENTIA…