Description

Join us to drive operational excellence and ensure CMS compliance and other risk-bearing programs. You'll lead data analysis, audits, and process improvements that directly impact RAF accuracy and financial performance.

Key Skills:

• Business Requirements Gathering
• Data Analytics & KPI Reporting
• Risk Adjustment & Compliance Audits

Must-Haves:

• Medicare Advantage knowledge
• Strong communication & project management skills
• Experience with regulatory translation and coding audits

Preferred: SQL, Databricks, CRC/CPHIMS/CPMA certified