Risk Adjustment Consulting, Associate

Oakland, CA, United States Posted 10/8/2026 Leaves the board today
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Your Role

The Risk Adjustment Analytics team oversees analytics for Risk Adjustment for both external providers and internal leadership. The Risk Adjustment Consulting Associate will report to the Risk Adjustment Analytics, Manager. In this role you will support work for Risk Adjustment Data Validation (RADV) audits including automating data processes and managing stakeholder needs.

Your Work

In this role, you will:

  • Utilize Python, SQL, VBA to design, maintain, and automate critical data pipelines for the RADV Audit process

  • Manage relationships with key stakeholders from the Chart and Data Validation teams

  • Actively learn the core principles of decision analytics with knowledge of the analytic tools and techniques that are used to acquire and analyze data for reporting and decision making

  • Understand, update, and run programs that apply to decision analytic techniques

  • Understand claim, premium, membership and/or risk score assignment data at a basic level

  • Compile and categorize data, documenting and verifying the factors used in computations such as those used in premiums, benefits, member risk data and score submissions and establishing rating and pricing levels

  • Participate in the development and implementation of process of company's projects involving departmental or cross-functional teams focused on delivery of new or existing internal/external programs and/or products

Your Knowledge and Experience​ ​

  • Requires a bachelor’s degree in mathematics, statistics, computer science, or a related field
  • Requires basic analytic and data skills to support reporting, validation, and documentation tasks
  • Requires attention to detail to follow defined processes and quality checks for assigned work
  • Risk Adjustment experience preferred
  • Project Management experience preferred

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.