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Responsible for the strategy, execution and performance of Medicare risk adjustment programs, performance analysis, infrastructure and systems to meet business objectives and regulations. In addition the VP is responsible for analysis and reporting of Medicare revenue for all Senior Products and coordinating enterprise risk adjustment initiatives. Develop and oversee programs to ensure complete and accurate diagnosis codes are identified and submitted to CMS for all members for risk adjusted payment and that data are integrated with and utilized to improve the management of member’s care.

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Published at 10-08-2015
Viewed: 1484 times