Risk Adjustment Specialist - PA

Job Summary

A company is looking for a Risk Adjustment Specialist (Non-Clinical).

Key Responsibilities

• Engage and educate providers on accurate capture and reporting of chronic conditions for revenue management
• Conduct outreach and provide training to 60-100 providers, ensuring compliance with health plan requirements
• Analyze data to identify barriers and develop strategies to enhance provider success in projects

Required Qualifications

• High School Diploma or GED
• 2 years of experience in Health Insurance, Customer Service, Claims, or Provider Office
• Health Insurance experience preferred