Healthcare Risk Adjustment Analytics (Denver)TechMind RPO • Denver, CO, United States
Healthcare Risk Adjustment Analytics (Denver)
TechMind RPO • Denver, CO, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description3+ years working with healthcare data, specifically claims or encounter data using SQL. 3+ years of experience in healthcare finance, medical economics, or consulting in population health. 1+ year in designing and assessing risk adjustment initiatives (prospective and retrospective) including CMS RAPS / Encounter submissions. Prior experience in managing and developing direct reports. Deep understanding of CMS-HCC models (V24, V28), claims lifecycle, and compliance regulations. Strong knowledge of healthcare finance, value-based care, and population health metrics. Excellent presentation and storytelling skills, with the ability to convey complex data to senior leadership. High adaptability in dynamic environments, with a self-driven, entrepreneurial approach. Project management expertise and strategic thinking.
Job Overview :
A leading kidney care organization is seeking a Senior Manager, Risk Adjustment Analytics to lead the strategy and execution of risk adjustment analytics within its Integrated Care division. This role plays a crucial part in shaping financial performance through advanced analytics, compliance oversight, and collaboration with cross-functional teams.
If you're passionate about data-driven strategy, healthcare economics, and leading teams, this role offers a dynamic opportunity to drive impact at scale.
Key Responsibilities :
- Oversee and enhance the accuracy of risk adjustment financial models and processes.
- Develop executive-level reporting to monitor revenue metrics and evaluate initiative impacts on Medical Loss Ratio (MLR).
- Utilize SQL to query large datasets from clinical and claims data systems to generate actionable insights.
- Stay informed and compliant with CMS risk adjustment rules, policies, and submission systems.
- Collaborate with finance, operations, clinical, compliance, legal, and IT stakeholders to optimize performance.
- Act as a subject matter expert on CMS risk adjustment trends and best practices.
- Lead and mentor analytics professionals to drive performance.
Required Experience :
Required Skills :
serp_jobs.job_alerts.create_a_job
Risk Adjustment • Denver, CO, United States
Job_description.internal_linking.related_jobs
LanceSoft is seeking a travel Physical Therapist for a travel job in Golden, Colorado.Job Description & Requirements.Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organizati...serp_jobs.internal_linking.show_more
Fusion Medical Staffing-Therapy is seeking a travel Speech Language Pathologist for a travel job in Elizabeth, Colorado.Job Description & Requirements.
Travel Speech Language Pathologist.Facilit...serp_jobs.internal_linking.show_more
We are recruiting for a motivated Risk Adjustment Analyst - Denver Health Medical Plan ( •Must Be A Colorado Resident) to join our team!.
We are here for life's journey.Where is your life journey tak...serp_jobs.internal_linking.show_more
At Strive Health, we are driven by a purpose : transforming the broken kidney care system.Through early identification, engagement, and comprehensive coordinated care, we significantly improve outco...serp_jobs.internal_linking.show_more
Rang Healthcare is seeking a travel CT Technologist for a travel job in Golden, Colorado.Job Description & Requirements.Required Skills & Experience : .
Demonstrates reliability and effective ...serp_jobs.internal_linking.show_more
Fusion Medical Staffing-Nursing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Thornton, Colorado.
Job Description & Requirements.Facility in Thornton, Colorado.Fus...serp_jobs.internal_linking.show_more
A company is looking for a Senior Compliance Risk Adjustment Analyst.Key Responsibilities Serve as the point of contact for external audits, managing deliverables and inquiries Quality review al...serp_jobs.internal_linking.show_more
A leading kidney care organization is seeking a.Senior Manager, Risk Adjustment Analytics.This role plays a crucial part in shaping financial performance through advanced analytics, compliance over...serp_jobs.internal_linking.show_more
RKA Recruiting is seeking a travel CVOR Technologist for a travel job in Brighton, Colorado.Job Description & Requirements.
Dedicated and experienced healthcare staffing professionals that put o...serp_jobs.internal_linking.show_more RKA Recruiting is seeking a travel nurse RN Intermediate Care for a travel nursing job in Golden, Colorado.Job Description & Requirements.
Dedicated and experienced healthcare staffing professio...serp_jobs.internal_linking.show_more 
Go Healthcare is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Thornton, Colorado.Job Description & Requirements.
Pay package is based on 12 hour shifts and 36 hours p...serp_jobs.internal_linking.show_more
Skyline Med Staff Allied is seeking a travel Physical Therapist for a travel job in Golden, Colorado.Job Description & Requirements.
Join the Top- Rated Travel Healthcare Team!.Skyline Med Staff...serp_jobs.internal_linking.show_more Rang Healthcare is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Brighton, Colorado.Job Description & Requirements.
Performs independent nursing functions and delegat...serp_jobs.internal_linking.show_more 
All the benefits and perks you need for you and your family : .Relocation Allowance to Eligible Candidates.Student Loan Repayment Program.
Whole Person Wellbeing Resources.Joining AdventHealth is abou...serp_jobs.internal_linking.show_more
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...serp_jobs.internal_linking.show_more
Integrated Kidney Care (IKC) Revenue Analytics team, which is responsible for all CMS risk adjustment-related analytics.This role will lead the financial and strategic aspects of risk adjustment, p...serp_jobs.internal_linking.show_more
Hybrid Role, must be located in State of Colorado •.Join Carina Health Network and help us make Colorado communities healthier!.
Are you passionate about population health and interested in improving...serp_jobs.internal_linking.show_more All the benefits and perks you need for you and your family : .Student Loan Repayment Program.Whole Person Wellbeing Resources.
Joining AdventHealth is about being part of something bigger.Its about b...serp_jobs.internal_linking.show_more
Travel Physical Therapist
LanceSoft • Golden, CO, US
serp_jobs.job_card.permanent
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Speech Language Pathologist
Fusion Medical Staffing-Therapy • Elizabeth, CO, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Risk Adjustment Analyst - Denver Health Medical Plan ( •Must Be A Colorado Resident)
Denver Health • Denver, CO, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
VP, Risk Adjustment & HEDIS
Strive Health • Denver, CO, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel CT Technologist
Rang Healthcare • Golden, CO, US
serp_jobs.job_card.permanent
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - OR - Operating Room
Fusion Medical Staffing-Nursing • Brighton, CO, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Certified Risk Adjustment Analyst
VirtualVocations • Lakewood, Colorado, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Healthcare Risk Adjustment Analytics
TechMind RPO • Denver, CO, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel CVOR Technologist
RKA Recruiting • Brighton, CO, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Intermediate Care
RKA Recruiting • Golden, CO, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Labor and Delivery
Go Healthcare • Brighton, CO, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Physical Therapist
Skyline Med Staff Allied • Golden, CO, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - OR - Operating Room
Rang Healthcare • Brighton, CO, US
serp_jobs.job_card.permanent
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Emergency Department FT Days 10K Sign on Bonus Castle Rock
AH Rocky Mountain • Castle Rock, CO, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Remote Equity Research Analyst – AI Trainer ($50-$60 / hour)
Data Annotation • Castle Rock, Colorado
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Sr Manager, Risk Adjustment Analytics
Fox Point Recruitment LLC • Denver, Colorado, United States
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_variable_days
Risk Adjustment Coder
Carina Health Network • Denver, CO, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN Clinical Coordinator OR
AH Rocky Mountain • Castle Rock, CO, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted