What are the responsibilities and job description for the Risk Adjustment Program Manager-Medicaid, Medicare position at MetroPlusHealth?
We are looking for a professional with experience in Risk Adjustment for the Medicare, Medicaid and Qualified Health Plan ("Exchange") populations. As a Risk Adjustment Program Manager, you will develop strategies to ensure risk adjustment data accuracy, coordinate the work of internal and external partners, and respond to new requirements from CMS or company leadership. You will supervise the work of analysts and specialists to reconcile encounter submissions, prepare ongoing reporting and anal