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Manager Business Consultant
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- As a Manager, Business Consulting within the Revenue Integrity COE organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical record data extraction, reconciliation and aggregation, and financial and operational reporting.
- Responsible for providing guidance and direction to external vendors, external consultants, team members and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives.
- Support 1m IFP members through tightly managing vendor data quality and timeliness; ensure data is ingested into CREW to drive submissions; any and all CREW validation errors are worked timely to ensure submission completeness; analyse and understand digital retrieval to maximize results; customize ACA reporting views and outreach manager data needed for day to day operations work.
- Experience with SAS/SAS EG/Python/SQL server in data analytics and manipulation
- Experience with CMS Risk Adjustment programs
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