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Enterprise Risk Adjustment Analyst
Location:
Fullerton, CA
Description:
A company is looking for an Enterprise Risk Adjustment Analyst to manage data extracts and perform Encounter Data submissions for various healthcare programs. Key Responsibilities: Create and manage data extracts for Medicare, Medicaid, and ACA Commercial programs Review submission reports and reconcile internal data with data submitted to CMS/DHS Perform root cause analysis to address potential gaps in risk scores Required Qualifications: Bachelor's degree in business or related field with 5 years of relevant experience, or 9 years of related work experience in lieu of a degree Strong knowledge of Claims, Encounters, and Supplemental Data Expert knowledge of CMS rules and guidance for Risk Adjustment Submissions Experience with Medicare, Medicaid, and ACA Commercial Data Submissions Proficiency in extracting data from relational databases and performing data analysis
Company:
Virtualvocations
Posted:
November 15 on TopUSAJobs
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More About this Listing: Enterprise Risk Adjustment Analyst
Enterprise Risk Adjustment Analyst is a Work at Home Analyst Job at Virtualvocations located in Fullerton CA. Find other listings like Enterprise Risk Adjustment Analyst by searching Oodle for Work at Home Analyst Jobs.
Enterprise Risk Adjustment Analyst is a Work at Home Analyst Job at Virtualvocations located in Fullerton CA. Find other listings like Enterprise Risk Adjustment Analyst by searching Oodle for Work at Home Analyst Jobs.