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CommunityCare HMO, Inc.

Director, Risk Adjustment & Analytics

CommunityCare HMO, Inc., Tulsa, Oklahoma, United States, 74145

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A healthcare organization is seeking an experienced Director of Risk Adjustment to oversee its risk adjustment program for ACA and Medicare Advantage businesses. The role involves developing strategies, leading cross-functional teams, ensuring compliance with regulations, and enhancing coding accuracy. Ideal candidates will have extensive experience in risk adjustment, healthcare operations, and a strong record of process improvement. This position is key to maximizing data reporting efficiency and enhancing member engagement. #J-18808-Ljbffr