Risk Adjustment Administration 4

Profile

Job Information

Humana

Risk Adjustment Administration 4

in

Brooklyn

New York

Description

The Risk Adjustment Administration Representative 4 is responsible for obtaining accurate healthcare information from providers to ensure appropriate clinical care for members and maintenance of accurate payment levels. The Risk Adjustment Administration Representative 4 assumes ownership and leads advanced and highly specialized administrative/operational/transactional customer support duties that require independent initiative, analysis and judgment.

Responsibilities

The Risk Adjustment Administration Representative 4 may conduct analysis and proper maintenance of data, provider or member outreach, and/or record retrieval for all risk adjustment campaigns. Decisions are regarding the daily priorities for assigned groups/territories and/or external vendors including coordinating work activities and monitoring progress, and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Works within broad guidelines with minimal oversight.

Daily responsibilities include, Manage, maintain and track ADHOC retrospective projects assigned.

Provide white glove retrieval process service to value based groups and providers/groups new to Humana

Required Qualifications

Up to 2 years of working within a Healthcare or Provider Setting

High School Diploma

​At least 2 years of leadership experience

Up to 2 years of project management

Strong knowledge of Microsoft Office XP products (Word, Excel, Access)

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Strong written and verbal communication skills; strong analytical, organizational and time management skills

Preferred Qualifications

Associates degree or higher

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com