Job Summary:
We are seeking a seasoned Business Operations Analyst to join our team. As a key member of our organization, you will play a critical role in ensuring the accuracy and timeliness of our risk adjustment claims evaluation process.
The successful candidate will have a strong background in business analysis and healthcare with a solid understanding of Risk Adjustment methodologies. Proficiency in SQL and Excel is also required, as well as excellent research and analytical skills.
Key Responsibilities:
* Track and manage inventory within our EDPS system
* Monitor CMS reports to track diagnosis codes accepted, disallowed, or flagged for deletion
* Implement proactive strategies to triage deletes and reduce audit risk before CMS initiates RADV reviews
Requirements:
* Bachelor's Degree (or higher) OR equivalent experience
* Strong communication skills, both written and verbal
* Ability to analyze trends and opportunities and present findings to business partners
About Us:
We value our employees' contributions and offer a dynamic work environment that fosters growth and development. If you are a motivated and detail-oriented individual with a passion for business analysis and healthcare, we encourage you to apply.