responsibilities for this position include: - Responsible for collecting and reporting data from multiple backend payment services... framework. - Provide support to the overall Payment Services Chief Risk Office risk programs through metrics reporting...
and Human Services (HHS)-HCC, Chronic Illness and Disability Payment Systems (CDPS) + Medicaid Rx, and Part D Risk adjustment... in healthcare analytics (claims, quality, risk adjustment, or provider performance). Experience integrating multiple data sources...
). Experience in risk adjustment, payment integrity, or quality measurement modeling. Experience with healthcare data analytics... across departments such as Health Services, Payment Integrity, Quality Improvement, Finance, and Provider Network Management. Lead...