Risk Adjustment Consultant

Harvard Pilgrim Health Care Inc

Base: $85,665.60 - $128,498.40; bonus/equity: vari...
Fully remote
Bachelor's degree required
3-5 years stakeholder management experience
Proficiency in microsoft excel and powerpoint
Point32Health, a not-for-profit health organization, is seeking a Risk Adjustment Consultant to support operations and analysis of risk adjustment programs. The ideal candidate should have experience in stakeholder management within healthcare or health insurance, along with strong analytical skills

Job Summary

  • This role supports the operations and analysis of risk adjustment programs while serving as the primary point of contact for key provider organizations.
  • The consultant will analyze medical group results, manage risk score reporting, and collaborate with internal departments to improve provider performance.
  • Point32Health offers a comprehensive total rewards package including medical, dental, vision, retirement plans, and paid time off.

Matching Summary

Match Score: 85

Point32Health, a not-for-profit health organization, is seeking a Risk Adjustment Consultant to support operations and analysis of risk adjustment programs. The ideal candidate should have experience in stakeholder management within healthcare or health insurance, along with strong analytical skills.

Salary

Base: $85,665.60 - $128,498.40; Bonus/Equity: Variable pay eligible; Benefits: Medical, dental, vision, retirement, PTO, tuition program

Skills & Requirements

Must-have

  • Bachelor's degree required
  • 3-5 years stakeholder management experience
  • Proficiency in Microsoft Excel and PowerPoint
  • Understanding of US Health Policy and CMS
  • Experience with risk adjustment programs

Nice-to-have

  • Graduate degree preferred
  • Consulting or health plan background
  • Database system knowledge
  • Self-directed and motivated work style
  • Ability to present to provider networks

Key Requirements

  • Bachelor's degree in related field
  • Three to five years of progressive experience
  • Knowledge of CMS and health insurance sector
  • Strong interpersonal and communication skills

Work Rights

Not specified

Tailored Resume

Cover Letter