Process audits for all lines of business, including Workers’ Compensation, General Liability, Auto, and Excess. Manage assigned inventory by processing audits timely, both for first-time audits and revisions received from field audit regions. Analyze policies and audit worksheets to ensure accurate audit advice completion, applying manual/bureau rules and processing procedures. Extensive training will be provided for this role.
Job listings
$63,350–$119,390
USD/year
The Risk Adjustment Program Analyst supports the planning, organizing, directing, and implementation of department strategy related to Medicare Risk Adjustment. This role involves analyzing clinical, claims, and enrollment data to ensure compliance with government regulations. The analyst identifies trends and collaborates with cross-functional teams to support strategic objectives.