# Principal Risk Adjustment & Revenue Integrity Analytics Lead at Lumeris

- Company: Lumeris
- What the company does: Lumeris is a physician-first healthcare transformation company dedicated to improving primary care through our AI-powered Primary Care as a Service platform. Backed by Kleiner Perkins.
- Company website: https://www.lumeris.com/
- Type: Startups
- Level: Principal and up
- Location: Remote, USA
- Work setup: Remote
- Posted: 2026-09-29
- Apply by: 2026-11-13
- Apply: https://lumeris.wd1.myworkdayjobs.com/en-US/LC/job/Remote-USA/Principal-Risk-Adjustment---Revenue-Integrity-Analytics-Lead_R0007081?utm_source=1752vc&utm_medium=careers
- Page: https://www.1752.vc/careers/jobs/lumeris-principal-risk-adjustment-and-revenue-integrity-analytics-lead/

## About the role

The Principal Risk Adjustment & Revenue Integrity Analytics Lead is a senior, hands-on analytics leader responsible for designing, building, validating, and operationalizing Medicare Advantage Part C risk adjustment analytics. Found on 1752vc Careers, the job board for startup and VC roles.

## What they're looking for

- Bachelor's degree in a related field such as Mathematics, Statistics, Computer Science, Data Analytics, Health Informatics, Finance, or Actuarial Science
- 8+ years of healthcare analytics experience, with direct experience in Medicare Advantage Part C Risk Adjustment, RAF, CMS-HCC, and risk-adjusted payment performance
- Demonstrated experience analyzing Part C risk-score performance, including model impacts, coding trends, population mix, and submission outcomes
- Experience with Risk Adjustment data flows, including claims/encounters, eligibility, provider data, supplemental files, EDPS, MAO-004, and MMR/payment data
- Ability to build and reconcile forecast-to-actual performance across Bid, Budget, projections, and final reconciliation
- Hands-on experience writing complex SQL to extract and reconcile data from large-scale data environments


Source: 1752vc Careers, https://www.1752.vc/careers/jobs/lumeris-principal-risk-adjustment-and-revenue-integrity-analytics-lead/