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Risk Adjustment Analyst I / II / III / IV
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- This position interacts with analyticalcoding staff in all regions, vendors, as well as internal departments such as Finance, Actuarial, Operations, Network Management, Provider Contracting, Legal, and Compliance.
- Develops financial projections and conducts analysis for risk adjustment projects including retrospective chart review and prospective initiatives.
- Maintains current knowledge of risk adjustment models such as: CMS Hierarchical Condition Categories (HCC) and RxHCCs, HHS HCCs and Clinical Risk Groups (CRGs) along with other open source and third-party models.
- Strong PC skills including Microsoft Office Suite, (Excel, Access, Word, PowerPoint, Outlook, Teams) and familiarity with data integration tools, such as SAS, SPSS, R, Power BI, Tableau, etc., required.
- Experience with programming languages such as base SAS, SQL, R, Python, C, C
Expired 7 days agoInactive Job
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