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Hcc Business Analyst Jobs (NOW HIRING)

HCC

Senior Analyst, Institutional Research

Houston, TX · On-site

$110K - $111K/yr

Develop business practices for the delivery of information including, structure, nomenclature, and ... HCC is one of the country's largest singly-accredited, open-admission, community colleges offering ...

Tmhcc

Data Analyst

Kennesaw, GA · Hybrid

Best Company and benefits from the financial stability of its parent company, Tokio Marine HCC. *This role is located onsite in Kennesaw, GA.* Position Summary:The Data Analyst supports business and ...

Omega Healthcare Management Services

Coder HCC

Boca Raton, FL · On-site

$17.75 - $23.75/hr

Follows official coding guidelines to review and analyze health records. * Maintains compliance ... Ability to develop and maintain relationships with key business partners by building personal ...

Tokio Marine HCC International

About TMHCC Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry ... This role goes beyond executing configuration requests the ideal candidate evaluates business ...

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How much do hcc business analyst jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for hcc business analyst in the United States is $47.43, according to ZipRecruiter salary data. Most workers in this role earn between $35.58 and $59.38 per hour, depending on experience, location, and employer.

Does Hcc Business Analyst offer remote positions?

Hcc Business Analyst roles may offer remote or hybrid work options depending on the employer and project requirements. Candidates should review specific job postings for remote work availability and be prepared to use tools like Excel, SQL, or business intelligence software remotely. Flexibility varies by organization and position.

Is a Hcc Business Analyst still in demand?

Hcc Business Analysts are generally in demand due to their role in analyzing business processes and implementing technology solutions. Skills in data analysis, project management, and familiarity with healthcare systems increase employability in this field.

What are the top 3 skills for a Hcc Business Analyst?

A Hcc Business Analyst typically needs strong analytical skills to interpret data and identify business needs, proficiency with healthcare and billing systems such as HCC coding, and excellent communication skills to collaborate with stakeholders. Knowledge of healthcare regulations and certifications like CPC or CCS can also enhance effectiveness in this role.

What are popular job titles related to Hcc Business Analyst jobs?

For Hcc Business Analyst jobs, the most frequently searched job titles are:

Infographic showing various Hcc Business Analyst job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $98,662 per year, or $47.4 per hour.

Business Analyst with Risk Adjustment (Payor) || 1099 only || Need USC or GC only

Atlanta, GA • On-site

Pantar Solutions inc
11 - 50 employees
Learn more about Pantar Solutions incexternal

Contractor

Re-posted 10 days ago

Job description

We are an Information Technology and Business Consulting firm specializing in Project-based Solutions and Professional Staffing Services. Please have a look at below position which is with our Client and let me know your interest ASAP. I would really appreciate if you could send me your MOST RECENT UPDATED RESUME: 

Title: Business Analyst – Risk Adjustment (Payor)

Location: Richmond or Atlanta  – Hybrid role

Long Term Contract || 1099 only || Need USC or GC only

Need strong Business Analyst – Risk Adjustment (Payor) with  risk adjustment analytics in a healthcare payer environment (Medicare Advantage, ACA (HIX/Exchange), or Medicaid), SQL, Excel, data visualization tools (Tableau/Power BI/SAS), healthcare data formats (claims, encounters, EMR, lab, and eligibility), regulatory processes (CMS, HHS, EDGE server, RADV/IVA audits), HCC coding models (CMS-HCC, HHS-HCC), ICD-10 codes, and claims data Exp.

Consultant LinkedIn profile must have been created before 2018/2019

Need 8-10+yrs of IT Exp. Profiles

Job Summary:Client is seeking a highly analytical and motivated Business Analyst – Risk Adjustment to support risk adjustment operations and data analytics initiatives. This role is critical in helping ensure accurate and compliant capture of risk adjustment data for government-sponsored programs such as Medicare Advantage and ACA (HIX/Exchange). The candidate will play a key role in translating business needs into technical solutions, driving insights, and enabling optimized risk scoring strategies.
Key Responsibilities:

  • Analyze and interpret risk adjustment data (claims, encounters, chart reviews, HCCs) to identify trends, data quality issues, and improvement opportunities.

  • Collaborate with stakeholders across actuarial, clinical coding, IT, and compliance teams to support risk score accuracy.

  • Translate regulatory and business requirements into user stories or functional specifications for data/reporting solutions.

  • Support CMS/HHS risk adjustment submission processes including EDGE server management and encounter reconciliation.

  • Assist in development and enhancement of dashboards/reports for risk score monitoring, suspecting models, and provider performance.

  • Monitor and interpret changes in CMS/HHS risk adjustment guidelines and apply to internal business processes.

  • Participate in audit support (e.g., RADV, IVA) and validation of risk adjustment data submissions.

  • Act as liaison between technical teams and business stakeholders to ensure delivery of actionable and scalable solutions.

Qualifications:

  • Bachelor's degree in Healthcare Administration, Business, Analytics, or related field (Master’s preferred).

  • 8+ years of experience in risk adjustment analytics in a healthcare payer environment (Medicare Advantage, Medicaid, or ACA).

  • Strong knowledge of HCC models (CMS-HCC, HHS-HCC), ICD-10 coding, and risk adjustment methodologies.

  • Experience with healthcare data formats: claims, encounters, EMR, lab, and eligibility.

  • Proficiency in SQL and Excel; experience with BI tools like Power BI, Tableau, or SAS preferred.

  • Familiarity with regulatory processes (CMS, HHS, EDGE server, RADV/IVA audits).

Preferred Skills:

  • Knowledge of data and reporting tools, including Cognos or Watson Health platforms.

  • Experience in Agile environments; ability to write and manage JIRA user stories and tasks.

  • Strong communication and stakeholder engagement skills across technical and business teams.

 
Thanks & Regards,
 
Babu