Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team in and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

The Risk Adjustment Analytics Principal acts as the primary technical resource and business liaison, working directly with both the Risk Adjustment department and the broader Data Analytics department to develop the tools, metrics, and reports needed to advance the organization’s Risk Adjustment strategy. Provides project management and requires the use of advanced analytical and reporting skills and process improvement methodologies to design and review evaluation plans, ensure data collection across groups, influence and develop analysts for reporting support, lead team meetings, and mentor junior staff. 

In addition to acting as a technical resource, the Risk Adjustment Analytics Principal also acts as a mentor to caregivers across the Data Analytics department. The Principal must maintain an understanding of the changing health care trends and Risk Adjustment regulations and the impact of such changes on the Plan. The Principal must remain current on analytic techniques and methodologies, data sources, data available within the Providence Health Plan System and other public and proprietary sources. They must also build and maintain relationships with other leaders across the organization including Actuarial, Network, Strategic Accounts, Compliance and Regulatory Finance, IS, Pharmacy, and agencies outside the organization (the State, CMS). 

Essential functions:

Meets regularly with Risk Adjustment leadership and staff to establish reporting and analytics priorities, secure resources for required work, establish timelines for successful delivery, and execute on agreed-upon goals.

Provides deep understanding of Risk Adjustment processes, models, methodologies, and expected outcomes and works with analytics team members to produce reporting and analysis to support decision making by leadership.

Provides advanced analytical support to both Finance and Risk Adjustment leadership related to performance driving expected payments. 

Organizes, prepares, and distributes complex analyses and operational reports utilizing multiple data systems. 

 

Providence Health Plan welcomes 100% remote work for applicants who reside in the following states:

WashingtonOregonCalifornia

 

Required qualifications:

Bachelor's Degree in In a highly quantitative field (e.g. Statistics, Mathematics, Actuarial Science, Economics, Engineering/Physics, Accounting, or Computer Science), plus a minimum of 10 years of experience in data analysis. Or High School Education or equivalent, plus a minimum of 12 years of experience in data analysisData analysis experience at a decision-making level.

Preferred qualifications:

Master's Degree.Coursework/Training: Formal training in the techniques of CQI/TQM and statistical process control methodology.Healthcare organization/health insurer experience.Extensive experience in the techniques of CQI/TQM and statistical process control methodology.

 

Salary Range by Location:

California: Humboldt: Min: $54.40, Max: $85.88California: All Northern California - Except Humboldt: Min: $61.04, Max: $96.35California: All Southern California - Except Bakersfield: Min: $54.40, Max: $85.88California: Bakersfield: Min: $52.19, Max: $82.39Oregon: Non-Portland Service Area: Min: $48.65, Max: $76.80Oregon: Portland Service Area: Min: $52.19, Max: $82.39Washington: Western - Except Tukwila: Min: $54.40, Max: $85.88Washington: Southwest - Olympia, Centralia & Below: Min: $52.19, Max: $82.39Washington: Tukwila: Min: $54.40, Max: $85.88Washington: Eastern: Min: $46.44, Max: $73.31Washington: Southeastern: Min: $48.65, Max: $76.80

 

Why Join Providence Health Plan? 

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.