Risk Adjustment Analyst, Population Health
About The Position
Oak Street Health (OSH) is seeking a Risk Adjustment analyst to work with the Screening and Diagnosis Excellence team on key population health projects. This position will assist Oak Street in analytical and operational work related to risk adjustment in value-based care, ACO/MSSP, and healthcare delivery. The ideal candidate will have strong technical and data management skills, written and verbal communication skills, extremely detail-oriented, comfortable taking ownership & following up, be self-directed, and enjoy working with a team in a fast-paced startup environment, while bringing their experience and innovative ideas.
Requirements
- Experience in beta testing and familiarity / knowledge of ICD-10 / HCC Model diagnosis coding framework.
- Strong analytics skills and proficiency in running queries in Excel. Ideal candidates will be comfortable with PowerQuery.
- Familiarity with the CMS HCC model and the concept of risk adjustment (RAF) scores within a value-based care system, though expertise in the way that demographic factors impact RAF is not required.
- Track record of effectively solving difficult problems.
- Orientation toward analytical problem solving.
- Practical, results-oriented mindset.
- 1-2 years experience at a consulting firm or similar analytics experience.
- US work authorization.
- Regular and reliable attendance.
- Any additional tasks as directed by supervisor or manager.
Nice To Haves
- Knowledge of SQL or GoogleSQL / BigQuery is a plus.
- Certifications / familiarity with Epic is a plus.
Responsibilities
- Assist in the analysis, implementation, monitoring, and support of Medicare Shared Savings Plan (MSSP) and Accountable Care Organization (ACO) programs such as LEAD, including Hierarchical Condition Category (HCC) analytics needs of the program(s).
- Assist the Screening and Diagnosis Excellence (S&DE) team by supporting a wide scope of S&DE analytics and reporting.
- Finalize technical requirements for reporting needs / updates, collect / organize all technical requirements for the updates, and partner with Business Intelligence on development / testing / production timing.
- Establish communication cadence / content for regional leaders regarding bug resolution / logic additions as they are pushed into production.
- Create metrics and reports to monitor success and identify opportunities for improvement.
Benefits
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
- CVS Health bonus, commission or short-term incentive program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
