A health plan client is looking for a Risk Adjustment Auditor to help support with company growth. This person is responsible for analyzing the Risk Adjustment Audit process and identifying any gaps. Additionally, they will be completing data reconciliation, interpreting raw medical and Rx claims, and creating automated processes. This opportunity is will require travel for training to our client’s site in Minnesota with the ability to work from home post training.
- claims data analysis
- strong SQL experience extracting and manipulating data
- risk adjustment data experience
- knowledge of Medicare Advantage
- Extremely detail oriented