Senior Risk Adjustment Analyst
Location
Baltimore, MD
Job Type
Full-time
Category
other-general
Posted
June 06, 2026
**Resp & Qualifications**
**PURPOSE:**
The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation of CMS and HHS risk score methodology, risk score calculation, ACA enrollment, premiums, medical and pharmacy claims, EDGE analysis and provider data. Incumbent is responsible for performing complex analyses and problem resolution including data extraction, report design, report build and solution deployment. Additional responsibilities include establishing and maintaining business process and technical workflow documents, collaborating with multiple stakeholders at various levels throughout the Company, as well as external entities, providing coordination and support as required.
We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able t...
**PURPOSE:**
The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation of CMS and HHS risk score methodology, risk score calculation, ACA enrollment, premiums, medical and pharmacy claims, EDGE analysis and provider data. Incumbent is responsible for performing complex analyses and problem resolution including data extraction, report design, report build and solution deployment. Additional responsibilities include establishing and maintaining business process and technical workflow documents, collaborating with multiple stakeholders at various levels throughout the Company, as well as external entities, providing coordination and support as required.
We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able t...