Sr Analyst, Medical Economics, Stars and Risk Adjustment

The Senior Analyst of Medical Economics, Stars and Risk Adjustment will play a key role in advancing Monogram Health’s analytical capabilities and driving performance in Star Ratings and Risk Adjustment documentation accuracy.

Requirements

• Develop and maintain standardized Stars and Risk Adjustment reporting using internal data sources and CMS files within Databricks and Power BI
• Lead code development and end-user dashboard creation, applying subject-matter expertise to meet defined business needs
• Serve as a subject matter expert on Risk Adjustment data sources, including MAO-004, 837, MMR, and MOR files
• Present internal overviews and detailed analytical findings to stakeholders to ensure alignment and clarity on next steps
• Analyze data to identify trends, performance opportunities and develop actions plans to address gaps
• Build a deep understanding of clinical workflows and collaborate to enhance processes that support departmental efficiency and effectiveness
• Partner with internal teams to share insights that may influence underwriting, contracting, operations and other business areas
• Support the growth of direct and matrixed team members by fostering knowledge‐sharing and sustainable progress toward departmental goals

Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts