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Job Analysis:
The Senior Risk Adjustment Data Analyst role at Sentara Health is fundamentally focused on optimizing revenue management through effective data analysis and predictive modeling within the context of healthcare risk adjustment. This position involves leveraging diverse datasets, including claims and pharmacy data, to identify business challenges and create solutions tailored to enhance premium revenue. Key responsibilities encompass collaboration with various internal teams and external vendors, establishing analytics frameworks, and developing dashboards for data visualization. Given the nuanced nature of healthcare data, the analyst must utilize advanced technical skills, notably in SQL and Databricks, to effectively communicate complex processes and insights to non-technical stakeholders. Success in this role is marked by efficient process automation, seamless report generation for regulatory and business use, and active participation in cross-departmental projects aimed at improving risk adjustment strategies. Candidates must navigate regulatory complexities related to CMS and HHS, requiring not just technical acumen but also a strong consultative approach to problem-solving.
Company Analysis:
Sentara Health, with a sprawling network of hospitals and health plans, operates within the highly competitive and regulated healthcare industry. As one of the top not-for-profit health systems in the U.S., Sentara places significant emphasis on clinical quality and innovative healthcare delivery, setting the stage for its data analysts to have a profound impact on financial outcomes. The company culture reflects a commitment to community wellness and employee empowerment, evidenced by various accolades for being a great employer and its focus on diversity and inclusion. The position of Senior Risk Adjustment Data Analyst is situated within the Revenue Management team, emphasizing collaboration and visibility, particularly in how data-driven decisions influence broader strategic initiatives. This role is particularly strategic as Sentara navigates complex reimbursement models and aims to leverage analytics to sustain growth and enhance both patient and provider experiences. Thus, a successful candidate will not only contribute to immediate financial outcomes but will also align with Sentara's overarching mission of improving health every day, making it essential to embody the company's values in their work.