Senior Department Coordinator, Risk Adjustment (100027)
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About The Position
As the Senior Risk Adjustment Operations Department Coordinator, you will be providing administrative and project support for data submissions, audits, and medical record retrieval. This is a critical and time-sensitive role for Premera to remain compliant with CMS (Centers for Medicare and Medicaid) deadlines for audits, and the submission and management of enrollment, medical claims, pharmacy claims, and supplemental data files and error remediation. This Coordinator will be supporting and/or coordinating projects to meet risk adjustment objectives through tracking, report generation, support of invoice management, source system research, outbound calls to providers to aid in removing medical record retrieval barriers, and support of key initiatives such as managing workflow of medical records between Premera and our vendor partners.
