Director, Risk Adjustment & Quality Rating Systems Operations
Company: CTI Education Group
Location: Raleigh
Posted on: February 22, 2021
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Job Description:
Job Description - Director, Risk Adjustment & Quality Rating
Systems Operations (1210312) Director, Risk Adjustment & Quality
Rating Systems Operations Position Purpose: Oversee the business
processes related to risk adjustment and quality improvement for
assigned products and plans.
Education/Experience: Bachelor's degree in related field. 7+ years
of risk adjustment, project management, operations, quality
improvement or data analysis/reporting experience in the healthcare
industry. Previous experience in value-based revenue and quality
improvement initiatives with various health insurance product(s)
preferred. Previous managed care or Medicare experience
preferred.
Centene is an equal opportunity employer that is committed to
diversity, and values the ways in which we are different. All
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation,
gender identity, national origin, disability, veteran status, or
other characteristic protected by applicable law. Job Claims
Operations Primary Location Organization WellCare of North Carolina
Schedule Full-time Transforming the health of the community, one
person at a time HEALTHCARE IS BEST DELIVERED LOCALLY Our local
approach allows us to help members access high-quality, culturally
sensitive healthcare services. LOCAL COMMUNITY INVOLVEMENT IS KEY
We invest in local communities and the lives of our members in as
many ways as we can. Stay safe from recruitment fraud! the only way
to apply for a position at Centene is via our carrers website. from
recruitment fraud.Learn how to protect yourself
Keywords: CTI Education Group, Raleigh , Director, Risk Adjustment & Quality Rating Systems Operations, Executive , Raleigh, North Carolina
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