[Remote] Principal, Risk Adjustment Analytics Consultant - REMOTE

Note: The job is a remote job and is open to candidates in USA. Health Care Service Corporation (HCSC) is a purpose-driven company focused on employee development and success. The Principal Risk Adjustment Consultant will drive analytical strategies to optimize Medicare Risk Adjustment performance, delivering insights and visualizations while advising internal stakeholders and senior leadership.ResponsibilitiesDrives analytical strategies and solutions to optimize Medicare Risk Adjustment (RA) performanceDelivers actionable insightsBuilds dynamic visualizationsProvides strategic advisory services to internal stakeholders and senior leadershipAnalyses for revenue optimizationRisk forecastsHCC coding logicRADV auditsMedicare segmentationData & logic governanceBuild interactive visualizationsInterpret CMS model updates that affect organization-wide strategy and risk adjustment analyticsTranslate highly technical coding, regulatory, and statistical nuances into clear business recommendations for executive leadershipSkillsBachelor's degree and 8 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree with 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR PhD with 4 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR 12 years of experience in health care services, statistical analysis, or insurance industry economics or related fieldUnderstanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insightsStrong analytical skills and proficiency in computer languages, such as SQL, Python, R, etcAbility to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BIHigh degree of business intelligence and understanding how to take a business case from inception to customer or partner executionExcellent communication and presentation skillsAbility to work independently and as part of a teamAbility to lead multiple analytic related projects in parallelAnalytics subject matter expertPerformance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to lifeAbility to work under pressure and delivery high quality output to senior leadership to decision making within short timelineDeep experience with Medicare Risk Adjustment and StarsAdvanced analytics & automation using Alteryx or Airflow for data blending and automationProficiency with GitHub for collaborative coding and version controlCertification or practical experience with project management methodologies and tracking tools (e.g., Agile, Wrike, PMP), and exposure to data science in healthcare including hands-on experience working with predictive models, machine learning pipelines, or Large Language Models (LLMs)BenefitsHealth and wellness benefits401(k) savings planPension planPaid time offPaid parental leaveDisability insuranceSupplemental life insuranceEmployee assistance programPaid holidaysTuition reimbursementOther incentivesAnnual incentive bonus plan subject to the terms and the conditions of the planCompany OverviewHealth Care Service Corporation is a customer-owned health insurance company. It was founded in 1936, and is headquartered in Chicago, Illinois, USA, with a workforce of 10001+ employees. Its website is https://www.hcsc.com.Company H1B SponsorshipHealth Care Service Corporation has a track record of offering H1B sponsorships, with 27 in 2026, 198 in 2025, 166 in 2024, 132 in 2023, 145 in 2022, 73 in 2021, 59 in 2020. Please note that this does not guarantee sponsorship for this specific role.