Description

JOB SUMMARY

This job is responsible for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS.Directs the daily activities of direct reports supporting Risk Adjustment Coding and Quality/HEDIS.Assesses viability of current direction/projects/operations and recommends strategies and tactics to satisfy current and future business needs.Actively seeks and identifies opportunities for improvement.Implements strategic and tactical improvements to the Risk Adjustment Coding and Quality/HEDIS processes.Manages information that will ensure accurate and efficient projects.Responsible for working with appropriate departments in the areas of risk adjustment, compliance, process improvement and member/provider satisfaction for all product lines. Recommend and/or implements process improvements related to the potential of quality medical care and service.Serves as a resource regarding government and regulatory aud...