Role Summary

HIGHLIGHTS

Health consulting role focused on ACA and Medicare Advantage risk adjustment operations across health plans. You will manage client engagements, perform data analysis and financial modeling, and coordinate cross-functional teams. Consultant I level, client-facing, based in the United States.

JOB DESCRIPTION SUMMARY

Client-facing consultant supporting ACA and Medicare Advantage risk adjustment operations
Manage project timelines and deliverables across multiple client engagements
Perform data analysis and develop financial models to inform client strategies
Collaborate with actuarial, coding, data engineering, and operations teams
Support business development including RFPs and proposal preparation

DOMAIN EXPERTISE

ACA and Medicare Advantage risk adjustment operations
Risk adjustment lifecycle including coding, submissions, analytics, and provider engagement
Healthcare consulting or actuarial analysis experience

KEY REQUIREMENTS

Deep experience supporting or leading ACA and Medicare Advantage risk adjustment operations
Minimum of 2 years of healthcare consulting, actuarial analysis, or related experience
Bachelor’s degree in math, statistics, economics, actuarial science, or related field required
Strong client communication and project management skills
Proficiency in Excel; experience with SAS, R, or SQL preferred