Professional, Sr. Risk Adjustment Analyst - MVP Health Care : Job Details

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Professional, Sr. Risk Adjustment Analyst to join #TeamMVP. This is the opportunity for you if you have a passion for healthcare analytics, innovation, and healthcare equity. What's in it for you:

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

Qualifications you'll bring:

• Bachelor's Degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered
• 3 - 5 years' experience in healthcare or managed care industry required
• Demonstrated experience managing multiple projects at once while achieving desired results required
• Knowledge of CMS risk adjustment and reinsurance payment processes and audits for Medicare and Commercial programs required
• Experience in risk adjustment payment models strongly
• Intermediate Microsoft Excel skills, including the ability to create simple formulas, insert rows, link data, enter and sort data and produce graphs and charts
• Proven ability to analyze, report and provide insight on large sets of data
• Data visualization skills (Tableau, Power BI, etc.)
• Ability to transform analytical output into simple to understand findings
• Intermediate SQL skills
• Possess strong analytical skills with detailed knowledge of healthcare operations and datasets.
• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

Your key responsibilities:

• Work with the Risk Adjustment Team on both retrospective and prospective interventions.
• Supply Risk Adjustment Team with retrospective chart chase lists.
• Send charts externally to vendors when necessary
• Work through supplemental diagnosis submission process.
• Send monthly files to external vendors for their consumption.
• Work with vendors in targeting chart review and maximizing revenue.
• Provide targeting and refinement for prospective risk adjustment efforts.
• Supporting development and execution of a multi-year improvement strategy and annual plan of action to maximize reimbursement.
• Driving the development of targeted performance data and distribution efforts, both internally and externally to provider partners.

Where you'll be: Location: Remote Pay Transparency MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. MVP's Inclusion Statement At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at [email protected] .