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.
Review and ensure compliance with all federal and state regulations, guidance, and technical specifications
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.
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