Capital Blue Cross

Provides administrative support to the Risk Adjustment team, performing administrative tasks that support Risk Adjustment programs and processes including coordinating collection of medical records, departmental documentation, and member/provider communications. Assists with medical record documentation requests.

The Data Scientist III serves as a senior technical leader, driving the team’s most complex analytics initiative while shaping the strategic direction of data science across the organization. This role combines deep hands-on expertise with enterprise-level influence, tackling challenging modeling, architecture, and design work while setting standards for technical excellence. This role partners with executives and senior stakeholders to translate ambiguous business needs into structured analytic projects and measurable outcomes.

The Risk Adjustment Program Analyst supports the planning, organizing, directing, and implementation of department strategy related to Medicare Risk Adjustment. This role involves analyzing clinical, claims, and enrollment data to ensure compliance with government regulations. The analyst identifies trends and collaborates with cross-functional teams to support strategic objectives.