About this role
Your Role
The Enterprise Retrospective Chart Review team oversees end to end retrospective coding operations, ensuring the accuracy, completeness, and compliance of medical record review across all risk adjusted lines of business. The team manages enterprise workflows, vendor performance, coding quality, audit readiness, and cross functional alignment with Clinical, Compliance, and Risk Adjustment partners.
Your Knowledge and Experience
Requires a bachelor’s degree in health management, mathematics, statistics, computer science, or a related field
Requires 3+ years of experience building reproducible analytic pipelines (end-to-end data workflows from raw extraction to structured reporting) and technical documentation using SQL, SAS, or Python on health plan data (claims, premium, and membership).
Requires experience building dashboards or visual reports that support operational decision making
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.