Risk Adjustment Specialist III
Yesterday
🇺🇸 United States – Remote
💵 $62.5k - $101.5k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
🎲 Risk
🦅 H1B Visa Sponsor
Description
• Medicare Risk Adjustment is accountable for revenue generation through data-driven research. • The Specialist III -- Risk Adjustment has awareness of HHS, CMS, and other risk adjustment models. • Activities are focused on completing projects involving measurement of risk adjustment models. • Provide support to operational areas tasked with implementing revenue management programs. • Recommend new ways of performing work tasks or projects based on research and benchmarks.
Requirements
• 2+ years related work experience in risk adjustment • Related Bachelor’s degree or additional related equivalent work experience • Statistics, management, actuarial science, computer science, data science, risk management, insurance, health care finance, public health, or related field; and 2 years of work experience in risk adjustment • Intermediate proficiency in Excel • Beginner-level proficiency in SAS • SAS certification(s) or SQL preferred • Knowledge of State or Federal risk adjustment models preferred • Knowledge of Medicare Advantage, Medicare Part D, Medicaid, or Qualified Health Plans preferred • Data mining knowledge preferred • Predictive modeling knowledge preferred • Knowledge of the Affordable Care Act (ACA) preferred
Benefits
• Medical, dental, vision, life and global travel health insurance; • Income protection benefits: life insurance, Short- and long-term disability programs; • Leave programs to support personal circumstances; • Retirement Savings Plan includes employer contribution and employer match; • Paid time off, volunteer time off, and 11 holidays • Additional voluntary benefits available; and • A comprehensive wellness program
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🇺🇸 United States – Remote
💵 $29 - $34 / hour
⏰ Full Time
🟢 Junior
🟡 Mid-level
🎲 Risk
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