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Revenue Management Risk Adjustment Analyst III - Health Alliance Plan
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- Premium reconciliation reports for monthly financial close; file payment issues with CMS and monitor response; monitor MMR accruals; estimate risk adjustment premium impact for final reconciliation with CMS; allocation of premium to at-risk provider networks
- Maintenance of the following queries and analysis: Reconciliation reports for Risk Adjustment, Reinsurance, Risk Corridors, APTC, Cost Sharing, and Part D program receivables and payables for monthly accounting needs.
- Annual financial reporting activities including CMS bid filings, HCR Premium Development, RFP on financial Risk Adjustment projects, Employer Group Rate Renewals, financial audits, CMS Attestations, premium and member revenue budgets, Medical Loss Ratio reporting.
- Experience with Medicare Advantage, Medicare Part D, Medicaid or Qualified Health Plans preferred.
- HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, companies and organizations.
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