Risk Adjustment Data Analyst

POSTED ON 7/8/2020 CLOSED ON 10/5/2020
Optum Hired Organization Address Tacoma, WA Full Time

Job Posting for Risk Adjustment Data Analyst at Optum

Risk Adjustment Data Analyst- Remote

Northwest Physicians Network part of Optum  is now offering qualified candidates an opportunity to join our team as a Risk Adjustment Data Analyst. Our company values innovative problem solvers promote personal and professional growth and provides a supportive working environment that affords all of its employees a healthy work/life balance.

The Northwest Physicians Network (NPN) Risk Adjustment Data Analyst is responsible for understanding and interpreting data through the employment of statistical analysis and reporting using a variety of reporting platforms, systems, sources, and data formats. The analyst will work closely with the Risk Adjustment team to understand business requirements, project deliverables, technical solutions, and short-term objectives and long-term goals. They will collaborate with other business units on the structure, data gathering and transformation methodology, and analytical standards to ensure reporting accuracy, data integrity, and process efficiency.

Northwest Physicians Network creates the opportunity for independent private practitioners to thrive in Washington State. By providing clinical integration support and data driven quality improvement, we have created a high value delivery network, making it possible for our providers to remain focused squarely on their patients.

Status: Regular, Full-time, FLSA Non-exempt

Competitive Benefits

Primary responsibilities will include:

  • Create ad hoc reports and queries
  • Develop methods to support the access, storage, and reporting of data sets that result from project initiatives
  • Effectively visualize and communicate the insights, patterns, and trends from complex data sets
  • Conduct quality control audits to ensure accuracy of data
  • Identify, correct, and/or assist in resolution of data quality errors
  • Collaborate directly with internal and external business units 
  • Perform data scrubbing, troubleshooting, quality checking, and usability analysis to identify anomalies, which need to be addressed prior to delivery of analytic results
  • Develop and maintain knowledge of key performance indicators related to Medicare Risk Adjustment and Hierarchical Condition Categories (HCCs)
  • Other duties as assigned

    Knowledge, Skill, Abilities:

  • High-level of knowledge of Microsoft software suite including Word, PowerPoint, Project, Visio
  • Intermediate to Advanced skill level with Microsoft SQL
  • Intermediate to Advanced skill level with Microsoft Excel
  • Understanding of medical terminology and familiarity with medical records
  • Ability to interact and communicate effectively with healthcare providers
  • Experience using ad-hoc query tools and data visualization products (Power BI, SSRS, Power Pivot, Crystal Reports, Tableau or other)
  • Strong communication and meeting facilitation skills
  • Strong written skills (process documentation, software documentation, SBAR, etc.)
  • Basic Data Warehouse knowledge
  • Ability to effectively manage time, prioritize work, multi-task across many assignments without reminders or prompting from management
  • Working knowledge of the provider-based healthcare industry and Risk Adjustment strongly preferred
  • Experience with at least one of the following (SSIS, SSAS, VBA, MS Access, SAS, VBA, .NET, Visual C#

    Minimum Requirements:


    Degree and/or a professional certification (preferred


    Three years’ experience in healthcare analytics which direct or indirect work with public health certificate/coursework, claims management systems, EMR platforms, healthcare regulations, Risk Adjustment MA/HHS, or other clinical related background (preferred)


    AHIMA Certified Health Data Analyst (CHDA) required within 1 year of employment

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Here you’ll find incredible ideas in one incredible company and a singular opportunity to do your life's best work.(SM)

Diversity creates a healthier atmosphere: Optum and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Optum and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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