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Risk Adjustment Data Analyst Jobs (NOW HIRING)

The Risk Adjustment Analyst will be the lead in the design, implementation, and maintenance of all Risk Adjustment and Quality Data and Dashboards for our entire NeueHealth Portfolio: ACA, Medicare ...

Summary of Job Lead the development of building a Risk Adjustment Data Modeling and Analytics tool for submissions to CMS-HCC, HHS-HCC, RX-HCC, CRG. Enhance efficiencies within the Risk Adjustment ...

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How much do risk adjustment data analyst jobs pay per year?

As of Sep 14, 2026, the average yearly pay for risk adjustment data analyst in the United States is $82,640.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,500.00 and $97,000.00 per year, depending on experience, location, and employer.

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Infographic showing various Risk Adjustment Data Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 12% Part Time, and 4% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $82,640 per year, or $39.7 per hour.

Risk Adjustment Data Analyst - CFHP

San Antonio, TX

Full-time

Posted 20 days ago


University Health System (San Antonio) rating

8.0

Company rating: 8.0 out of 10

Based on 64 frontline employees who took The Breakroom Quiz


Job description

POSITION SUMMARY/RESPONSIBILITIES

The Risk Adjustment Data Analyst supports Community First Health Plans' Risk Adjustment program through data analysis, reporting, medical record retrieval, and performance monitoring activities. Coordinates with internal departments, provider networks, and external vendors to ensure accurate and timely collection, analysis, and reporting of risk adjustment data. Utilize health informatics and analytics tools to identify trends, monitor key performance indicators, support Hierarchical Condition Category (HCC) capture, and improve risk adjustment outcomes. Assists with medical record retrieval initiatives, data validation, provider performance analysis, and regulatory reporting to ensure compliance with CMS requirements and organizational goals.

EDUCATION/EXPERIENCE

Bachelor’s degree in a related field preferred. Two (2) years of experience in healthcare data analysis and medical record retrieval required. Experience in Risk Adjustment, managed care, health plan operations, or healthcare analytics preferred. Knowledge of healthcare data, electronic health records (EHRs), and medical record retrieval processes preferred. Proficiency in Microsoft Excel and strong analytical, organizational, and communication skills required. Ability to work effectively with providers, vendors, and cross-functional teams.

CERTIFICATION

Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Coding Specialist - CCS and/or data analytics certification (e.g., CHDA, Microsoft Power BI Data Analyst Associate) within two (2) years of employment, based on the requirements of their role.


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