Risk Adjustment Specialist (Clinical)
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About The Position
Support the development and maintenance of Risk Adjustment related programs and reporting. Aid in working with Risk Adjustment vendors for programs within all lines of business. Aid in the development and support of company-wide Risk Adjustment initiatives within all product lines and assist in vendor management related to those initiatives. Help train providers and Health Plan staff in Risk Adjustment methodologies and activities to continue to improve Centene's Risk Adjustment score - some travel may be required. Research and assist in the development of best practices into operations for Risk Adjustment. Prepare operational workflows specific to each product business requirements and the local market dynamics. Prepare and participate in meetings with various committees and providers. Performs other duties as assigned. Complies with all policies and standards.
