Risk Adjustment Healthcare Analyst III

Job overview

The Risk Adjustment Healthcare Analyst III role is an office position requiring onsite work an average of three days per week. The posting identifies Minnetonka, MN, and Madison, WI, as office locations and lists a full salary grade of $90,500–$155,200 per year; the typical hiring range is $90,500–$122,835 per year. Medica is a nonprofit health plan serving members across several states and partners with providers to support personalized care. This senior individual contributor develops complex analytics and reporting that inform risk adjustment strategy, financial performance, coding accuracy, and regulatory compliance. The analyst works with actuarial, finance, clinical, quality, and operational partners to validate data, monitor performance, communicate findings, and improve reporting processes.

What you'll do

• Develop, maintain, and enhance risk adjustment analytics and reporting, including HCC coding accuracy, RAF score performance, and financial impact analysis
• collaborate with cross-functional partners and explain analytical results
• validate and reconcile data, investigate quality issues, and recommend corrective actions
• monitor performance indicators and communicate trends and anomalies
• create dashboards and visualizations
• maintain working knowledge of CMS risk adjustment guidelines and model changes
• improve and document analytical processes.

What we're looking for

Skills & competencies

risk adjustment

healthcare analytics

hcc coding

raf scores

cms methodologies

sql

python

tableau

power bi

minnetonka mn

madison wi

$90,500–$155,200/year

medica

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, and vision coverage, paid time off, holidays, paid volunteer time off, 401(k) contributions, and caregiver services.

Why this role

Requires a bachelor's degree and at least three years of healthcare analytics, reporting, or data analysis experience; SQL and tools such as Python, SAS, or R are listed. No work visa sponsorship is offered.

About the employer

Medica Services Company LLC is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.