[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 that invests in employee development. The Principal Risk Adjustment Consultant will drive analytical strategies to optimize Medicare Risk Adjustment performance, delivering insights and visualizations while advising senior leadership on risk adjustment analytics.ResponsibilitiesDrive analytical strategies and solutions to optimize Medicare Risk Adjustment performanceDeliver actionable insights and build dynamic visualizations for internal stakeholders and senior leadershipPerform analyses for revenue optimization, risk forecasts, HCC coding logic, RADV audits, Medicare segmentation, and data & logic governanceInterpret 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)Company 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.