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Risk Adjustment Associate Data Analyst (Medicare)- Hybrid, UPMC
Job
UPMC
Remote
Full-Time
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Job Description
We are seeking a Risk Adjustment Associate Data Analyst to support Medicare Advantage (MA) and ACA Commercial risk adjustment programs. This role is responsible for producing accurate reporting, performing analytical reviews, and reconciling CMS and HHS risk adjustment response files. The analyst will work closely with senior analysts, operations teams, and business partners to support risk score accuracy, coding performance, and financial outcomes. This position focuses on foundational analytics and reporting rather than advanced predictive modeling and is ideal for an analyst with healthcare data experience and working knowledge of Medicare and ACA risk adjustment methodologies. This is a Monday through daylight role and will be a hybrid shift consisting of working from home and in office.