Note: The job is a remote job and is open to candidates in USA. CenterWell Senior Primary Care, a Humana healthcare services organization, is seeking a Risk Adjustment Coding Analyst to provide operational, analytical, and administrative support to business leaders and teams. The role focuses on developing dashboards and reports, analyzing operational trends, preparing executive-ready summaries, supporting compliance and performance monitoring, and improving reporting processes and data quality.
Responsibilities
- You will develop recurring dashboards and reports that support operational oversight, analytics, compliance monitoring, and leadership decision-making
- You will analyze operational trends, variances, aging, volumes, activity breakdowns, and performance changes; summarize findings in a clear business narrative with important takeaways and recommended next steps
- Prepare executive-ready summaries, presentations, and written analyses that explain the “story behind the data” rather than relying solely on raw reports or pivot tables
- Support recurring and ad hoc reporting needs, including dashboard maintenance, pending work analyses, activity tracking, audit reporting, GenAI-related reporting, CDI tracking, query tracking, and other priorities
- Partner with leaders and teams to define reporting needs, resolve data issues, and support interpretation of results
- Document active deliverables, reporting schedule, data sources, process notes, dependencies, risks, and transition plans to ensure business continuity knowledge transfer
- You will manage priorities, meet deadlines, escalate barriers, and make independent decisions regarding work methods within established guidelines
- Maintain confidentiality and handle sensitive business, operational, and healthcare-related information observing organizational policies and compliance expectations
- Improve reporting processes by identifying opportunities to improve manual work, strengthen data quality, enhance partner usability, and improve the clarity of deliverables
Skills
- Bachelor's degree or equivalent experience in business, analytics, healthcare administration, operations, information management, or a related field
- Experience supporting operations, analytics, project coordination, or administrative responsibilities
- Proficiency with Microsoft Office Suite with the ability to organize data, create summaries, and support presentation-ready deliverables
- Validate data, identify trends, compare time periods, calculate changes, and explain findings in concise language
- Produce written summaries including main insights, and recommend next steps for leadership review
- Validate calculations, removing duplicates, and confirming assumptions before sharing deliverables
- Partner across teams and translate partner requests into applicable reporting or documentation
- Maintain confidentiality and handle sensitive operational, employee, provider, member, and business information
- Experience improving business processes, partner experience, and operational outcomes through accurate reporting and applicable insights
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
- While this is a remote position, occasional travel to Humana's offices for training or meetings may be required
- Experience managing dashboards, trackers, scorecards, or recurring performance reports
- Experience with Excel-based analysis, Power BI, SharePoint, OneDrive, Teams, or other collaboration and reporting platforms
- Experience supporting healthcare operations, risk adjustment, coding operations, audit reporting, CDI tracking, provider education reporting, or similar regulated activities
- Convert complex data into executive-ready summaries, visual tables, trend narratives, and partner-facing updates
- Experience documenting processes, creating transition plans, maintaining report inventories, and supporting knowledge transfer
- Comfort working with latest tools, including AI-assisted summaries or analytics, while validating outputs for accuracy before use
- Identify data discrepancies, clarify definitions, align reporting logic, and support interpretation across partners
Benefits
- This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- Short-term and long-term disability
- Life insurance
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