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Responsibilities:
- Be responsible for the monitoring and management of the end to end data flow of data submissions to vendors and government agencies to mitigate data leakage and submission errors.
- Own the claim and supplemental submission workflow for CMS EDS submissions.
- Collaborate closely between the Engineering and Risk Adjustment teams.
Requirements:
- You have two years experience with Medicare Risk Adjustment, CMS EDS submissions, and healthcare claims data.
- You have at least two years of programmers experience using SQL, Python, and R.
- You are relentlessly focused on serving the needs of diverse business customers.
Benefits:
- Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities.
- We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage.
Clover Health
Clover Health is reinventing health insurance by combining data with human empathy to keep members healthier. They've created custom software and analytics to empower their clinical staff to intervene and provide personalized care to the people who need it most. They are passionate and mission-driven individuals with diverse areas of expertise. From Clover’s inception, Diversity & Inclusion have always been key to their success.