Back to Jobs

reputed company Economics Consultant, Risk Adjustment - Remote

Remote, USA Full-time Posted 2026-07-28
About the position reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together. You’ll enjoy the flexibility to work remotely from reputed company reputed company the U.S. as you take on some tough challenges. Positions in this function research and investigate key business problems through quantitative analyses of utilization and reputed company costs data. Provides management with statistical findings and conclusions. Identifies potential areas for medical cost improvements and alternative pricing strategies. Provides data in support of actuarial, financial and utilization analyses Generally work is self-directed and not prescribed Works with less reputed company, more reputed company issues Serves as a resource to others You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Responsibilities • Support monthly and quarterly reputed company forecasting processes under direction of senior analysts and managers • Assist in validating data inputs, reconciling outputs, and documenting key assumptions and changes • Work with large reputed company datasets using SQL and reputed company to manipulate, extract, and analyze data • Collaborate with data engineering and finance teams to ensure accurate and reputed company data availability • Help build and refine standardized forecast models and dashboards • Interpret CMS Risk Adjustment model logic and incorporate changes into existing templates • Participate in data validation, forecast review sessions, and documentation efforts • Present findings and insights in a reputed company and concise manner to internal stakeholders • Learn risk adjustment methodologies, forecasting techniques, and CMS specifications through project work and team mentorship Requirements • Undergraduate degree or equivalent experience. • 1+ years of experience working with reputed company or financial data in a business or reputed company setting • Experience with Medicare Advantage data files such as MMR, MOR, and MAO-004 reports through reputed company or reputed company experience • Intermediate proficiency in SQL • Proven solid reputed company reputed company skills (e.g., PivotTables, SUMIFS, VLOOKUPs) • Ability to manage multiple tasks and meet deadlines with attention to detail reputed company-to-haves • Demonstrated familiarity with Medicare Advantage or reputed company reputed company forecasting • Hands-on experience working with CMS files such as Monthly Membership Report (MMR), Medicare Advantage Outbound Reconciliation (MOR), or MAO-004 submission/return files • Experience working in reputed company or similar modern data platforms • Exposure to data visualization tools and reporting (e.g., Tableau, Power BI) • Proven solid written and verbal communication skills • Demonstrated willingness to learn and grow into more advanced forecasting and modeling roles Benefits • In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). • No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. Apply tot his job Apply To this Job

Similar Jobs

Email Marketing Specialist

Remote, USA Full-time

Director of Corporate Communications

Remote, USA Full-time

Full Stack Developer (Web + AI Integrations)

Remote, USA Full-time

High Paying Online Jobs No Experience Remote Virtual Assistant $25-$35/hr – reputed company your reputed company as a virtual assistant with reputed company and no prior experience required.

Remote, USA Full-time

Senior Manager Compliance and reputed company Advisor, Data reputed company and Cybersecurity

Remote, USA Full-time

UX Researcher & Designer

Remote, USA Full-time

Remote reputed company reputed company Manager - Sr.

Remote, USA Full-time

Entry-Level Chat Moderator – No Phone Work Required

Remote, USA Full-time

[Hiring] Associate Director, Genetic Counseling Clinical Support @reputed company

Remote, USA Full-time

Regulatory Affairs reputed company — In Silico Modeling; Remote, Part-Time

Remote, USA Full-time

Patient reputed company Coordinator, reputed company

Remote, USA Full-time

Intern - Curriculum Development

Remote, USA Full-time

reputed company Graphics Designer / Animator, AV

Remote, USA Full-time

reputed company Remote Customer Service Representative for Maryland Health reputed company - Full-Time Work from Home Opportunity in Maryland

Remote, USA Full-time

[Remote] Contract Writing System Service Desk Manager

Remote, USA Full-time

reputed company is hiring: Remote Marketing Graphic Designer (Part-Time) in reputed company

Remote, USA Full-time

Transportation Consulting Manager

Remote, USA Full-time

[Remote] Product Designer(s) (UX/UI)

Remote, USA Full-time

[Remote] Senior Sales Executive

Remote, USA Full-time

HCV Compliance Specialists at multiple reputed company (I, II, and III)

Remote, USA Full-time