Sr Manager, Risk Adjustment Analytics

Sr Manager, Risk Adjustment Analytics

Overview

Making sense of complex healthcare numbers is tough work, but turning those figures into real strategic direction for patient care is where the magic happens. We are looking for an experienced Senior Manager to step into our Integrated Kidney Care Revenue Analytics squad. In this role, you will take full ownership of CMS risk adjustment analytics, guide financial strategies, and translate complex healthcare claims into clear insights for executive leadership. Even better, this is a fully remote position open to talented professionals worldwide, allowing you to drive serious impact from anywhere across the globe.

Key Responsibilities

Your day to day work will center on several essential priorities

  • Provide clear strategic leadership and day to day oversight for risk adjustment accuracy within the Integrated Kidney Care space
  • Develop and maintain executive reporting that tracks revenue financials and evaluates how our clinical initiatives impact the Medical Loss Ratio
  • Write advanced SQL queries against extensive data warehouses containing clinical operations and medical claims datasets
  • Translate dense analytics into actionable guidance that leadership can use to steer organizational strategy
  • Monitor evolving CMS policies, healthcare regulations, and guidelines to ensure all reporting models remain compliant
  • Partner closely across clinical, financial, and operational teams to unify our revenue analytics approach

Requirements

To succeed in this role, you should bring the following background and skills

  • Extensive background in risk adjustment analytics, healthcare finance, or clinical data analytics
  • Demonstrated experience leading analytics projects and delivering strategic recommendations directly to executives
  • Deep technical fluency with SQL and large relational data warehouses holding medical claims and clinical operational records
  • Familiarity with CMS risk adjustment methodologies, healthcare economics, and Medical Loss Ratio mechanics
  • Strong communication skills with a proven knack for turning complex analytical concepts into plain language for diverse business partners
  • Ability to work autonomously in an international, distributed team environment

What You Will Gain

You will step into a pivotal role where your calculations directly influence decisions made at the highest levels of the organization. Beyond the intellectual challenge, you will enjoy complete location freedom with a truly global remote setup, a supportive team culture centered on patient care outcomes, and the chance to advance your career in the rapidly expanding value based care sector.

How to Apply

Click the apply button below to view the full job details and submit your application directly through the employer's official page.

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