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004 Humana Insurance

Risk Adjustment Admin Professional

Remote Nationwideremote$59K – $81K

Posted today · via Workday

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About this role

Become a part of our caring community The Risk Adjustment Administration Professional 1 responsible for uploading packets for CMS RADV (Risk Adjustment Data Validation) to CDAT (Central Data Abstraction Tool). Will also be responsible for any administrative review, claims review/investigation, working with different teams including the retrieval team. The Risk Adjustment Administration Professional 1 work assignments are often straightforward and of moderate complexity. The Risk Adjustment Administration Professional 1 may conduct analysis of data uploaded to CMS, review of packets, and some claims review. Understands own work area professional concepts/standards, regulations, strategies and operating standards.…

Read the full description on 004 Humana Insurance's site →

What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

For this role: teams, hipaa

2

Level fit

We check your title trajectory against the seniority signal of the role.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is remote-eligible — we factor in your stated location and time-zone overlap.

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Skills in this role

Pulled from the job description. These are the keywords we'll weight when scoring your fit.

teamshipaa

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