Kaiser Permanente

Analyst, Risk Adjustment

Kaiser Permanente

Irvine, CA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

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:

  1. Develop and implement risk adjustment programs designed to maximize revenue and ensure regulatory compliance.
  2. Collect, analyze, and interpret data to identify trends and opportunities for improvement.
  3. Monitor program performance and make recommendations for changes and improvements.
  4. Develop reports and presentations to communicate results and progress to stakeholders.
  5. Collaborate with cross-functional teams to ensure effective implementation of risk adjustment programs.
  6. Stay up-to-date on industry trends and regulations.
  7. Provide guidance and training to other team members on risk adjustment principles.
  8. Ensure all risk adjustment activities are compliant with regulatory requirements.
Where is this job?
This job is located at Irvine, CA, USA
Job Qualifications
  • 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

Required Skills
  • 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

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • self-motivation

  • Critical thinking

  • Teamwork

  • Adaptability

Compensation

According to JobzMall, the average salary range for a Analyst, Risk Adjustment in Irvine, CA, USA is $81,000 - $110,000.

Additional Information
Kaiser Permanente is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedNovember 13th, 2023
Apply BeforeJanuary 14th, 2026
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About Kaiser Permanente

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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