ZipRecruiter

Log In

1

Risk Adjustment Data Analyst Jobs (NOW HIRING)

DaMar Staffing

Risk Adjustment Coder

Virginia Beach, VA · On-site

$10K/mo

Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits ... cause analysis, and corrective action oversight. * Performs vendor quality oversight audits ...

ClinDCast LLC

Risk Adjustment Coding Auditor

Albany, NY · On-site

$27 - $30.75/hr

We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk Adjustment Data Validation) projects. The ideal candidate must ...

ClinDCast LLC

Risk Adjustment Coding Auditor

Albany, NY · Remote

$30 - $35/hr

We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk Adjustment Data Validation) projects. The ideal candidate must ...

Alignment Health

Data & Technology Strategy Partner with DTS and enterprise analytics teams on Risk Adjustment data strategy and reporting capabilities. Define business requirements supporting workflow modernization ...

CommunityCare, Inc.

Monitor compliance with CMS Risk Adjustment Data Validation (RADV) standards. * Track and report ... Strong analytical and critical thinking skills. * Clear written and verbal communication. * Ability ...

Phpmcs

OVERVIEW OF POSITION The Program Manager, Risk Adjustment & Stars, serves as the connective link between Alpine's technical teams (coding, data, analytics, IT) and its operational and business ...

previous pagenext page

Showing results 21-40

All JobsFinance And Insurance JobsFinancial Services JobsRisk Management Analyst JobsRisk Adjustment Data Analyst Jobs

Risk Adjustment Data Analyst information

See salary details

$34K

$82.6K

$136K

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

As of Sep 15, 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.

What cities are hiring for Risk Adjustment Data Analyst jobs?

Cities with the most Risk Adjustment Data Analyst job openings:

What states have the most Risk Adjustment Data Analyst jobs?

States with the most job openings for Risk Adjustment Data Analyst jobs include:

What are popular job titles related to Risk Adjustment Data Analyst jobs?

For Risk Adjustment Data Analyst jobs, the most frequently searched job titles are:

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.

Analyst, National Risk Adjustment Predictive Analytics (Remote)

Remote

Molina Healthcare
Health Care and Social Assistance • 10K+ employees
Learn more about Molina Healthcareexternal

$49K - $107K/yr

Full-time

Posted 18 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

Job description


JOB DESCRIPTION Job Summary
Provides analyst support for Molina enterprise risk adjustment predictive analytics activities. Designs and develops suspect, targeting, and tracking system to support Molina's prospective and retrospective interventions.
Essential Job Duties
• Assists risk adjustment data analytics leaders in prospective and retrospective intervention strategy analytics, and corresponding tracking of progress and impact of interventions.
• Develops quality assurance (QA) ad-hoc and automated reporting modules related to risk adjustment for Medicaid, Marketplace and Medicare/Medicare-Medicaid Plan (MMP) lines of business.
• Assists risk adjustment data analytics leaders in developing automated suspect and target/ranking engine for all lines of businesses.
• Facilitates analysis and reporting related to managed care data including claims, pharmacy, lab and related financial data (risk score/revenue/cost).
• Calculates and tracks risk scores for all intervention outcomes for all markets/lines of business.
• Works in an agile business environment; derives meaningful information out of complex/large organizational data sets through data analysis, data mining, verification, scrubbing, and root-cause analysis.
• Conducts root-cause analysis for business data issues.
• Analyzes data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine significance and relevance. Utilizes extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization, and performance.
• Assists with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
Required Qualifications
• At least 2 years of experience writing complex SQL queries, functions, procedures, and data design, including experience working with relational databases, Microsoft Transact-SQL (T-SQL), SQL Server Integration Services (SSIS), SQL Server Reporting Services (SSRS), and Power BI, and predictive modeling experience in health care quality and HEDIS rate tracking, medical record review tracking, interventions tracking, and statistical analysis/HEDIS forecasting experience supporting quality, finance, and health plan functions, or equivalent combination of relevant education and experience.
• Analytical mindset, excellent attention to detail, and problem-solving skills.
• Experience in working with complex data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics.
• Experience working with Microsoft T-SQL, Databricks SQL and Power BI.
• Experience writing complex SQL queries, functions, procedures and data design.
• Experience with Microsoft Azure, Amazon Web Services (AWS), or Hadoop.
• Ability to manage multiple priorities in a fast-paced, deadline-driven environment.
• Strong business acumen with the ability to connect data insights to strategic goals.
• Ability to communicate complex analytical results clearly to non-technical audiences.
• Proven ability to lead cross-functional projects and deliver value added results in a highly matrixed environment.
• Self-starter with a continuous improvement mindset.
• Effective verbal and written communication skills.
• Microsoft Office suite proficiency.
Preferred Qualifications
• Familiarity with data science techniques and languages like Python and R programming.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Molina Healthcare logo

About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

Social media

FacebookTwitter

View All Molina Healthcare Jobs

Apply