Principal, Risk Adjustment Analytics Consultant - REMOTE

HCSC (Health Care Service Corporation)

Remote

Quick summary

Work type
Remote
Location
Remote
Salary
$102,000–$184,300 / yr
Posted
6 days ago

Market check

Salary context

Below market

How this pay compares to similar roles

Similar $181k
This role $143k
$88k most similar roles pay here $233k

This role pays less than 75% of similar roles. Most pay $143,874–$218,075 — the shaded band above. At the midpoint, this role pays about $143k versus about $181k for comparable roles.

Based on 239 similar postings.

Employer

About HCSC (Health Care Service Corporation)

HCSC (Health Care Service Corporation) is the largest customer-owned health insurer in the United States, operating Blue Cross and Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. Industry: Health Insurance

HCSC (Health Care Service Corporation) currently has 11 open roles on FindRole.

Listed pay typically runs $102,000–$184,300 across 11 roles with salary data.

Most-posted roles

View all roles at HCSC (Health Care Service Corporation)

At a glance

TL;DR · Principal, Risk Adjustment Analytics Consultant - REMOTE

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The Principal Risk Adjustment Consultant role within the healthcare analytics team requires an experienced professional to drive strategic solutions for optimizing Medicare Risk Adjustment performance. This senior-level position involves conducting complex analyses for revenue optimization and risk forecasting, developing HCC coding logic, and preparing for RADV audits while ensuring data governance. Day-to-day responsibilities include building interactive visualizations using tools like Tableau or Power BI, interpreting CMS model updates to inform organization-wide strategy, and translating technical insights into clear business recommendations for executive leadership. Candidates should possess advanced skills in SQL, Python, R, and be proficient with Alteryx or Airflow for data automation. Deep expertise in Medicare Risk Adjustment and Stars is essential, along with experience in predictive modeling and machine learning pipelines. This role demands strong analytical abilities, excellent communication skills, and the capacity to manage multiple projects simultaneously under tight deadlines.

Skills

SQL Python R Tableau Power BI Alteryx Airflow GitHub Agile Wrike PMP Machine Learning Predictive Models Large Language Models CMS Model Updates Medicare Risk Adjustment Stars Program

What you'll do

  • Analyze Medicare Risk Adjustment data to optimize revenue and forecast risks.
  • Develop HCC coding logic and prepare for RADV audits with advanced analytics.
  • Create dynamic visualizations using Tableau or Power BI for strategic insights.
  • Translate complex technical nuances into clear business recommendations for leadership.
  • Lead multiple analytic projects, ensuring high-quality output under tight deadlines.

What we're looking for

  • Bachelor's degree with 8+ years of healthcare experience or equivalent.
  • Proficient in SQL, Python, R for data analysis and querying.
  • Expertise in Medicare Risk Adjustment and Stars program.
  • Strong skills in Tableau or Power BI for dynamic visualizations.
  • Excellent communication and presentation skills for executive leadership.
  • Experience leading multiple analytic projects simultaneously.
  • Advanced analytics using Alteryx or Airflow for automation.

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