Sr. Manager, Medical Risk Adjustment Analytics
Tasks
- Analyze member information
- Develop risk adjustment processes
- Ensure CMS and state compliance
- Ensure data accuracy and completeness
- Maintain adjustment process documentation
- Manage CMS data submission for attestation
- Monitor risk adjustment reports
- Oversee risk adjustment factor calculations
- Recruit develop and motivate staff
- Support revenue accruals and forecasting
Perks/Benefits
- N/A
Skills/Tech-stack
ACA marketplace | CMS risk adjustment | CPT | ICD-10 | Medicaid | Medicare | Microsoft Excel | Microsoft Outlook | Microsoft PowerPoint | Microsoft Word | Risk adjustment | SAS | SQL
Education
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