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Manager, Medicaid Risk Adjustment
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Full-time
- Position Summary We have an outstanding opportunity for an enthusiastic team player to lead a suite of market focused Risk Adjustment Programs for a portfolio of Aetna Better Health Medicaid Plans.
- Reporting to the Senior Manager of Medicaid Risk Adjustment, the Market Manager of Medicaid Risk Adjustment will work closely with cross-functional leadership across the Medicaid business to establish and champion a local market culture committed to revenue integrity excellence.
- This position is responsible for reviewing all activities (programs, analysis, encounter data submission and quality assurance) across revenue integrity processes related to risk adjustment (RA) focused on complete and accurate diagnosis capture and reporting.
- Strong preference for this position to be hybrid, within a commutable distance to a CVS/Aetna Hub Office (i.e. Hartford, CT, Lansing, MI, Scottsdale, AZ, Miami, FL, Woonsocket, RI, Chicago, IL, Dallas, TX, Boston, MA, etc.)
- Responsible for identifying and recommending nuanced market risk adjustment strategies and collaboratively executing tactics to focus, maximize and achieve market success, including market referrals.
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