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Risk Adjustment Consulting, Consultant
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- The Blue Shield's Risk Adjustment (RA) team plays a crucial role in bringing healthcare into the digital age.
- The Chart Retrieval, Risk Adjustment Consultant will report to the Manager of Medicare Chart Program.
- In this role you will play a critical role in expanding Blue Shield's medical records retrieval initiatives, ensuring accuracy and timeliness for both our ACA and Medicare teams.
- Drive leadership, guidance, and manage all aspects of a given program, including vendor oversight, internal cross-functional partnerships, tracking performance and measuring results
- Collaborate with healthcare providers and vendors to efficiently acquire medical records, particularly with non-responsive providers and charts showing as not available in providers' Electronic Medical Records systems
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