JOB SUMMARY: The Risk Adjustment Analyst will utilize and evaluate claims, authorization, member and provider data to assist the Director of Quality Validation to develop, track and monitor healthcare quality metrics, cost and make recommendations to support business decisions. The Risk Adjustment Analyst will exhibit familiarity with using data from various relational databases. The Risk Adjustment Analyst generates departmental performance reports, validates results and makes recommendation on how to interpret information. Performs other duties as assigned.MINIMUM QUALIFICATIONS:Education/Specialized Training/Licensure: Bachelor's Degree in Business. Public Health, Mathematics or related field. M
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