[Remote] Risk Adjustment Coding Analyst

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

Company Overview