The Senior Business Analyst position is responsible for coordinating activities for optimizing risk adjustment revenue across Neighborhood Health Plan of Rhode Island’s Medicare and Individual/Small Group Exchange population as prescribed by Center for Medicare and Medicaid Services, Department of Health, Health and Human Services or other State and Federal Regulatory Agencies. This position functions as the Business Lead on various projects and activities. This position is the primary contact for obtaining and disseminating information from Center for Medicare and Medicaid Services, Department of Health, Health and Human Services or other State and Federal Regulatory Agencies related to Risk Adjustment Program.
Job Specific Competencies:
In the role of business lead for assigned FDR; incumbent is responsible to complete comprehensive oversight and monitoring of their vendor that incorporates the following elements: efficient and effective operations; compliance with laws, regulations, policies, procedures; and other company performance issues designed to reduce risk and add value to the company
Flexible Work Arrangement:
Neighborhood is an Affirmative Action and Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, genetic information, age, disability, veteran status or any other legally protected basis.
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Neighborhood is an EOE M/F/D/V and an E-Verify Employer