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AVP Strategy Advancement
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- As a company focused on the health and well-being of the people we serve, Humana is committed to advancing the employment experience and vitality of the associate community.
- The Risk Adjustment team collects and submits members' health information to CMS for the purpose of generating accurate reimbursement for coverage, as well as inclusion in the appropriate clinical programs.
- The Health Quality and Stars team centralizes quality improvement and governance processes targeting Humana's Medicare Advantage members, and also manages compliant data submissions to CMS in adherence with the Stars Rating Program.
- The AVP will play a key leadership role on the HQRI team, partnering directly with the HQRI leadership team, leaders across the enterprise, including Market leadership, and external companies to create Medicare Risk Adjustment strategies to support Humana's industry leading position.
- In addition, the AVP will serve as a central point of contact for the lines of business as relates to key Stars and Risk Adjustment initiatives.
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