Senior Risk Adjustment Analyst
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About The Position
Performs data and analytical services in support of optimizing risk adjusted revenue, maintaining compliance with CMS standards and modeling financial impacts of changes in risk adjustment data and methodologies. Collaborates regularly with internal departments and external vendors on risk adjustment projects. Gathers, standardizes and consolidates financial claims, membership and premium data into data sets used for risk adjustment analytical and reporting needs. Leverages industry resources to increase knowledge and improve ROI of risk adjustment activities. Builds understanding of risk adjustment models in emerging business areas, including Medicaid. Works under general supervision.
