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VP HQRI Operations
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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.
- This position plays a crucial role leading and driving strategic initiatives to optimize risk adjustment operations and solutions that deliver quality outcomes and business value.
- The VP, HQRI Operations will create and own the strategic plan for enterprise risk adjustment operations.
- This position will report directly to the SVP, Risk Adjustment and Interoperability and lead a multi-level organization of more than 500 associates, with approximately 5 direct reports.
- Medical Record Retrieval for all Medicare and Commercial Risk Adjustment functions (retrospective review and all compliance and audit processes) and HEDIS
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