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⏰ Full-time

Senior Risk Adjustment Analyst

CareFirst
Location 📍 Baltimore, United States
Posted 📅 June 03, 2026
Work Type ⏰ Full-time

Position Overview

**Resp & Qualifications**

**PURPOSE:**
The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation of CMS and HHS risk score methodology, risk score calculation, ACA enrollment, premiums, medical and pharmacy claims, EDGE analysis and provider data. Incumbent is responsible for performing complex analyses and problem resolution including data extraction, report design, report build and solution deployment. Additional responsibilities include establishing and maintaining business process and technical workflow documents, collaborating with multiple stakeholders at various levels throughout the Company, as well as external entities, providing coordination and support as required.

We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able t...

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Job Details

Employment Type
Full-time
📊
Category
other-general
🏠
Work Arrangement
On-site
📍
Location
Baltimore, United States