Job Overview-Senior Manager, Risk Adjustment Analytics: Our client is seeking a Senior Manager to lead the Revenue Analytics team responsible for CMS risk adjustment analytics. This role drives the financial and strategic aspects of risk adjustment, providing insights to guide executive decision-making. The ideal candidate combines expertise in analytics, finance, and healthcare risk adjustment with the ability to turn data into actionable strategies.

Key Responsibilities:

• Lead strategic planning and management of risk adjustment accuracy and revenue optimization.


• Develop and maintain reports analyzing revenue financials and quantifying the impact of initiatives on Medical Loss Ratio (MLR).


• Write SQL queries to extract, manipulate, and analyze clinical operations, medical claims, and encounter data from data warehouse...