Senior Risk Adjustment Operations Associate
Remote USARemote (US)senior$58K – $83K
Posted 1w ago · via Workday
About this role
Job Description A bit about this role: We are seeking a meticulous and technically skilled Operations Senior Associate to lead the intake and administrative phase of our risk adjustment external audit operational pipeline. This role is responsible for the front-end intake of retrieved medical documents, ensuring every document is accurately classified, appropriately split into unique encounters, and validated for eligibility before moving further into the evaluation process. This role supports audit operations and special projects. Audits include CMS Risk Adjustment Data Validation (RADV) audits and Part C Improper Payment Measurement audits. Special projects include implementing AI tools for automated data abstraction and document management.…
Read the full description on Devoted Health Services's site →
What we'd score you on
reqspace match rubricFive 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: sql, looker, teams, split
2
Level fit
This role is senior-level. We check your trajectory against it.
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.
sqllookerteamssplit
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