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Corewell Health · 1 day ago

Disease Burden (HCC) Business Intelligence Developer

Grand Rapids, MI

Full-time

Onsite

Entry Level

2+ years exp

Corewell Health is a nationally recognized health system dedicated to delivering personalized health care. They are seeking a highly analytical Risk Adjustment Reporting Developer to support Medicare Advantage and other risk-based programs through reporting, trend analysis, and actionable insights for providers and clinical teams.

Health CareHospitalMedical

H1B Sponsor Likely

Responsibilities

Develop and deliver recurring and ad-hoc reports on RAF trends, HCC capture rates, provider performance, and suspect lists

Analyze large datasets (claims, EHR, encounter files) to identify gaps and missed opportunities

Monitor RAF impacts, HCC prevalence, V28 mapping changes, and quality indicators

Build dashboards and visualizations using Epic, Power BI, Tableau, or similar tools

Provide actionable insights to support coding, CDI, and provider education

Create provider-level opportunity lists for chronic conditions, recapture needs, and care gaps

Collaborate with CDI, coding, and provider relations teams to prioritize outreach strategies

Analyze documentation trends and recommend workflow improvements

Conduct year-over-year HCC trend reviews and measure program effectiveness

Qualification

Risk Adjustment AnalyticsHealthcare Data AnalysisEPIC Cogito CertificationICD-10-CM UnderstandingData Visualization ToolsTrend AnalysisCommunication Skills

Required

Bachelor's Degree or equivalent in business, liberal arts, computer science, application programming, software development, information systems, database administration, mathematics, engineering, or related field

2 years of relevant experience

EPIC Cogito Certification held within 6 months of hire

Preferred

Prior work in payer, ACO, MSO, or risk-bearing provider group

Experience in risk adjustment analytics, RAF modeling, or healthcare data analysis

Strong understanding of ICD-10-CM, HCC coding, V28 models, and risk-adjustment methodologies

Ability to analyze complex datasets and present actionable insights

Excellent communication skills for non-technical audiences

Epic Certifications in Cogito, Clarity and Caboodle held upon hire

Benefits

Comprehensive benefits package to meet your financial, health, and work/life balance goals.

On-demand pay program powered by Payactiv

Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

Optional identity theft protection, home and auto insurance, pet insurance

Traditional and Roth retirement options with service contribution and match savings

Company

Corewell Health

Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team

Founded in 2022

Grand Rapids, Michigan, USA

10001+ employees

https://corewellhealth.org

H1B Sponsorship

Corewell Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (49)

2024 (11)