WorcesterRecruiter
the smart solution for Worcester jobs

Risk Adjustment Consultant - Medicare, Risk & Analytics- Fas

Company: Fallon Community Health Plan
Location: Worcester
Posted on: March 16, 2019

Job Description:

Responsibilities: Analyze & Resolve Claims/ Encounter Data ErrorsEncounter Data/Claims SMEPrioritize error resolutionCollaborate with internal departments to work toward error resolutionManage Encounter Data softwareProduct Line SupportEducate specified product line management on drivers of variances from budget for all revenue streams.Meet regularly with the specified product manager(s) to identify and implement reports to improve revenue optimization efforts.Regulatory ComplianceKnowledgeable of data submission timelines and lags - RA factor impactSME for regulatory rate release notes and summaries - review and oversee application of risk adjustment changes specific to Annual Rate Notices and interim rate bulletins from state and federal regulatory agencies.Corporate Project SupportParticipate in corporate projects and subgroup meetings. Complete analyses related to corporate projects and business needs as required. Qualifications: BA or BS - Business Administration, Finance, Economics, Healthcare Administration, otherExperience working in Medicare, Medicaid and/or Merged Markets support role: Risk Adjustment, Regulatory, Enrollment, Internal Audit, Accounting, Underwriting, Marketing, Claims - otherProficient/Advanced in ExcelAbility to create presentations & exhibits in formats that meet various audience levelsSQL- Navigator and/or SAS experience-7 years - Managed Care setting-5 years - Excel-3 years - SQL/SAS Experience PM16 2

Keywords: Fallon Community Health Plan, Worcester , Risk Adjustment Consultant - Medicare, Risk & Analytics- Fas, Professions , Worcester, Massachusetts

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Professions Jobs


Driver - Regional Intermodal Truck Driver - Class A CDL
Description: Truck drivers earn up to 65,000 per year and a schedule of 2 weeks out and 1 week home in this Regional Intermodal CDL driving position. Intermodal truckers haul 99 no-touch freight containers within (more...)
Company: Schneider
Location: Pittsfield
Posted on: 03/21/2019

CDL A Truck Driving Jobs - OTR, Regional, Teams, Lease
Description: Earn An Extra 12,000 Your First Year - 1000 Paid Every Month LIMITED TIME Apply Now or Call 866 604-8460 Now br br US Xpress Has High Paying Jobs For CDL A Truck Drivers. Employer is now offering (more...)
Company: U.S. Xpress
Location: Peabody
Posted on: 03/21/2019

Team Drivers: Huge Sign On Bonus!
Description: NEW 40,000 TEAMING BONUS for OTR CDL-A DRIVERS Covenant Transport is excited to announce starting February 1, we are offering OTR CDL-A Team Drivers a 40,000 Teaming Bonus With our new 40,000 Teaming (more...)
Company: Covanant Transport
Location: Chicopee
Posted on: 03/21/2019


Driver - Team Truck Driver - Class A CDL
Description: Earn up to 0.53 per mile starting pay as a Team truck driver in Schneider's Van Truckload Division - among the highest compensated in the fleet. Average 5,000-6,000 miles per week choose more or less (more...)
Company: Schneider
Location: Pittsfield
Posted on: 03/21/2019

Benefit Consultants - Telecommute
Description: Work remotely for the nation's largest provider of discount health benefits. Our company has
Company: JMS Benefits
Location: Peabody
Posted on: 03/21/2019

Driver - Dedicated Truck Driver - Class A CDL
Description: This Dedicated truck driver position features daily time at home, up to 55,000 per year and a predictable work schedule. Truckers will haul multi-stop, 100 no-touch freight for the world's largest (more...)
Company: Schneider
Location: Pittsfield
Posted on: 03/21/2019

Now Hiring Class A CDL Drivers - Home Daily
Description: HOME DAILY NOW HIRING CLASS A CDL DRIVERS REGIONAL, DEDICATED, LOCAL DRIVING POSITIONS Call 877 920-6820
Company: Premier Transportation
Location: Chicopee
Posted on: 03/21/2019

CLASS A- CDL COMPANY FLATBED DRIVERS NEEDED!
Description: You've built and maintained an excellent driving record - now get rewarded for it -- br br Drive for--AFC today -- br br Get matched with an outstanding pay package topped with the ultimate career (more...)
Company: AFC TRANSPORT
Location: East Providence
Posted on: 03/21/2019

CDL-A Company Solo and Team OTR Drivers - New Pay Increase!
Description: br CDL-A Company Solo and Team OTR Drivers - New Pay Increase If you're looking for a company with a competitive pay package, monthly bonus, paid holidays and much more, consider Guaranteed Transport
Company: Guaranteed Transport Service
Location: Peabody
Posted on: 03/21/2019

Class A Truck Driver - Home Weekly *$1,000 Minimum Guarantee
Description: Want consistent miles Regular routes Regular home time br Employer has open positions available that are home every weekend with weekly pay minimums AND they're awesome. br CALL TO TALK TO US TODAY (more...)
Company: Western Express
Location: Pittsfield
Posted on: 03/21/2019

Log In or Create An Account

Get the latest Massachusetts jobs by following @recnetMA on Twitter!

Worcester RSS job feeds