🚀 Sr Manager, Risk Adjustment Analytics (DaVita IKC)

Job Title: Senior Manager – Integrated Kidney Care Revenue Analytics (DaVita Integrated Kidney Care)

Posting Date: 09/10/2025

Location: th St, Denver, Colorado, , United States of America

Base Pay Range: $110,000.00/yr – $161,000.00/yr

DaVita Kidney Care is one of the largest end‑to‑end kidney care providers; we manage $5.5B+ in annualized medical spend through value‑based partnerships. We provide comprehensive care and complex chronic condition management to 80k+ patients nationwide, whether they are in the early stages of kidney disease, transitioning to dialysis, seeking a kidney transplant, or receiving life‑sustaining dialysis.

Responsibilities

• Provide strategic leadership and management for the IKC Risk Adjustment Accuracy program.
• Create and maintain leadership reports on IKC revenue financials and estimating impact of IKC initiatives on Medical Loss Ratio (MLR).
• Write SQL queries against data warehouses containing clinical operations and medical claims data to support analytic requests and deliver insights to various stakeholders.
• Monitor evolving regulations and policies to ensure all processes and reporting meet compliance requirements.
• Partner with clinical, financial, operational, legal, compliance, and IT teams to improve risk adjustment accuracy.
• Serve as a subject matter expert on CMS risk adjustment for the enterprise and stay current on the latest industry trends.
• Other duties as assigned.

Required Experience

• 3+ years of professional experience with healthcare data, specifically medical claims and/or encounter data using SQL.
• 3+ years of experience in healthcare financial management, healthcare consulting, medical economics, population health, and/or similar experience.
• At least a year’s experience in creation, implementation, and impact estimation of prospective and retrospective risk adjustment initiatives, including CMS RAPS/Encounter data submissions.
• Experience developing and managing direct reports.

Skills And Knowledge Needed To Succeed In This Role

• Expert level knowledge of CMS-HCC models V24 and V28, claims data lifecycle, submission systems, regulation, compliance, and audits related to risk adjustment.
• Strong understanding of healthcare economics, population health, and value‑based care.
• Ability to work collaboratively in a cross‑functional team environment and communicate effectively with teammates at all levels in an organization.
• Comfortable presenting complex analysis and insights to an executive audience.
• Intellectual curiosity, strategic thinking and strong project management skills.
• Comfort with ambiguous, ever‑changing situations.
• Strong entrepreneurial mindset with the motivation to continuously improve the status quo and drive this independently.

What We’ll Provide

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out.
• Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more.
• Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on‑demand virtual leadership and development courses through DaVita’s online training platform StarLearning.

We are proud to be an equal‑opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.