Senior Data Analyst, Risk Adjustment

Accountabilities

In this role, you will ensure the reliability and accuracy of risk adjustment data processes, with ownership of CMS encounter and supplemental submission workflows. You will act as a key analytical partner in maintaining compliance and optimizing data pipelines across teams.

• Monitor and manage end-to-end data flows for CMS Encounter Data System (EDS) submissions to vendors and government agencies

• Own claim and supplemental submission workflows, ensuring accuracy, completeness, and regulatory compliance

• Develop and maintain data pipeline tracking reports to identify, analyze, and resolve encounter data errors

• Collaborate closely with Engineering and Risk Adjustment teams to improve data integrity and operational performance

• Support risk adjustment initiatives by tracking, implementing, and optimizing data-driven strategies

• Build and maintain dashboards and reporting tools to support operational visibility and decision-making

• Develop and update documentation, policies, and procedures related to encounter data processes and governance

Requirements

You bring strong technical and analytical experience in healthcare data environments, with a focus on risk adjustment, CMS submissions, and programming-driven analysis. You are detail-oriented, proactive, and comfortable working in regulated, data-intensive systems.

• 2+ years of experience in Medicare Risk Adjustment and CMS Encounter Data System (EDS) submissions

• 2+ years of experience working with healthcare claims data in an analytical or operational capacity

• Strong programming skills in SQL, Python, and/or R for data analysis and automation

• Experience building operational dashboards and reporting solutions

• Strong understanding of data pipelines, data quality monitoring, and error resolution processes

• Ability to work independently, take ownership of complex workflows, and deliver high-quality results

• Strong communication skills with the ability to collaborate across technical and non-technical teams

• Self-starter mindset with strong motivation to improve processes and deliver measurable impact

Benefits

• Competitive base salary with performance-based bonus opportunities

• Equity and Employee Stock Purchase Plan (ESPP) with discounted shares

• 401(k) retirement plan with company matching

• Comprehensive medical, dental, and vision insurance coverage

• Flexible remote-first work environment supporting work-life balance

• Generous paid time off, company holidays, and flexible time-off policy

• Mental health support, wellness programs, and No-Meeting Fridays

• Paid parental leave for all new parents

• Professional development funding, mentorship programs, and learning opportunities

• Monthly internet and phone stipend plus remote work equipment reimbursement

How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
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