HEDIS Risk Adjustment Specialist - Clinical
5 days ago
Description
• Support the development and maintenance of Risk Adjustment related programs • Aid in working with Risk Adjustment vendors • Help train providers and Health Plan staff in Risk Adjustment methodologies • Prepare operational workflows specific to each product business requirements • Prepare and participate in meetings with various committees and providers
Requirements
• Bachelor’s degree or equivalent experience • 2 years of quality improvement or clinical experience required • Bachelor’s degree in nursing and experience in managed care industry preferred
Benefits
• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules
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