Risk Adjustment Specialist II

November 16

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Logo of Centene Corporation

Centene Corporation

Contracting • Network Development • Managed Care

Description

•Utilize risk adjustment methodologies and principles to increase provider engagement •Drive provider performance through education trainings on systems and programs •Support improvement of risk adjusted coding and medical record documentation •Develop collaborative relationships with providers to enhance coding competencies •Use advanced Excel skills to identify trends and develop strategies

Requirements

•Bachelor's Degree in Health Promotion, Public Health, Health Administration, Business Administration or related field required •3+ years equivalent experience in Health Insurance, Customer Service, Claims, or Provider Office required •Knowledge of healthcare, managed care, and Risk adjustment methodologies •50% in-state travel required

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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