Director of Risk Adjustment Analytics

Los Angeles, CA

Type: Full Time

Eve Crane & Associates Inc.

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				Director of Risk Adjustment Analytics
Experience in analytics and data analysis
Over 5-7 years in a healthcare setting.
Over 1-3 years management experience.

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Experience in Medicare Advantage risk adjustment programs

Responsible for the ongoing development, implementation and facilitation of the processes to assure that all pertinent clinical information impacting the risk scoring of Medicare patients is captured and transmitted to health plans. Includes participation in ongoing data mining and analysis, oversight of, development and delivery of education and identification of opportunities to improve reimbursement through proper coding and documentation. Oversees the general organization and efficient management of the Medicare Comprehensive Health Assessment Program (CHAPs) data activities in the department.
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