
Analyst, Risk Adjustment
We are looking for a motivated, detail-oriented Analyst, Risk Adjustment to join our team at Kaiser Permanente. In this role, you will be responsible for developing, implementing, and monitoring high-impact risk adjustment programs that maximize revenue and ensure regulatory compliance. The ideal candidate is an analytical thinker with a passion for problem-solving and a commitment to success.To be successful in this position, you must possess a Bachelor’s degree in Healthcare Administration, Public Health, or a related field, as well as at least two years of experience in healthcare analytics or risk adjustment. You must also demonstrate excellent communication and organizational skills, as well as a strong understanding of risk adjustment principles. If you have a passion for making a positive impact and are excited to join a team focused on creating innovative solutions, we want to hear from you!
Responsibilities:
- Develop and implement risk adjustment programs designed to maximize revenue and ensure regulatory compliance.
- Collect, analyze, and interpret data to identify trends and opportunities for improvement.
- Monitor program performance and make recommendations for changes and improvements.
- Develop reports and presentations to communicate results and progress to stakeholders.
- Collaborate with cross-functional teams to ensure effective implementation of risk adjustment programs.
- Stay up-to-date on industry trends and regulations.
- Provide guidance and training to other team members on risk adjustment principles.
- Ensure all risk adjustment activities are compliant with regulatory requirements.
Ability To Work Independently
Business
Or Related Field
Prof
Bachelor's Degree In Public Health
Knowledge Of Risk Adjustment And/Or Quality Improvement Programs
Advanced Analytical And Problem-Solving Skills
Ability To Develop And Present Complex Data And Information To Stakeholders
Ability To Work Collaboratively With A Variety Of Internal Stakeholders
As Well As In A Team Environment
Documentation
Quality Assurance
Project Management
Networking
Data Analysis
Communication
Negotiation
Database Management
Claims Processing
Coding
Patient care
Financial analytics
Regulatory compliance
Problem-Solving
Risk Adjustment
Communication
Conflict Resolution
Leadership
Problem Solving
Time management
Interpersonal Skills
self-motivation
Critical thinking
Teamwork
Adaptability
According to JobzMall, the average salary range for a Analyst, Risk Adjustment in Irvine, CA, USA is $81,000 - $110,000.
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Kaiser Permanente is an American integrated managed care consortium, based in Oakland, California, United States, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney Garfield.

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