Responsible for developing, implementing, maintaining, monitoring and overseeing the company's risk adjustment initiatives for Integrity and commercial health exchange programs. Oversight of vendor activities related to risk adjustment. This will include evaluating the policies and procedures used for the Risk Adjustment program to ensure compliance with all Centers for Medicare and Medicaid Services (CMS) and Rhode Island regulatory guidelines.
Manage Risk Adjustment Accounting Requirements:
Regulatory Oversight and Quality Assurance:
Provider Engagement, Training and Support
Analysis and Use of Results
Enterprise Risk Adjustment
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.
Neighborhood is committed to ensuring individuals with disabilities and/or those who have special needs participate in the workforce and are afforded equal opportunity to apply for jobs. If you would like to contact us regarding the accessibility of our Website or need assistance completing the application process, please contact us at firstname.lastname@example.org.
Neighborhood is an EOE M/F/D/V and an E-Verify Employer