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Nicklaus Children’s Health System Logo
Nicklaus Children’s Health System

Miami, Florida

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University of Maryland Medical System

Linthicum Heights, Maryland

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Nemours

Wilmington, Delaware

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St. Luke's Health System

Idaho

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Watertown Regional Medical Center

Watertown, Wisconsin

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Vanderbilt Health

Nashville, Tennessee

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Ochsner Health

New Orleans, Louisiana

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Kindred Hospitals

Dover, New Jersey

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Kindred Hospitals

St Louis, Missouri

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CHRISTUS Health

Shreveport, Louisiana

Nicklaus Children’s Health System Logo
Nicklaus Children’s Health System

Miami, Florida

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St. Francis-Emory Healthcare

Columbus, Georgia

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Kindred Hospitals

San Leandro, California

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Kindred Hospitals

Aurora, Colorado

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Vanderbilt Health

Nashville, Tennessee

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St. Luke's Health System

Idaho

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Cook County Health

Chicago, Illinois

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Optum

Phoenix, Arizona

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CHRISTUS Health

Texarkana, Texas

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Harris Health System

Houston, Texas

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Director, Risk Adjustment
The Director of Risk Adjustment (RA) coordinates and oversees the analysis, monitoring, reporting, and forecasting of RA activities for the Government Programs lines of business, such as Medicare Advantage, Commercial Individual and Small Group and Medicaid member populations. This position keeps abreast of new RA legislation and regulations and is responsible for analyzing and communicating the potential impact to the rest of Community Health Choice. This position leads the alignment of all Risk Adjustment initiatives occurring within other functional teams such as Quality, Compliance, Operations, Legal, and Actuarial to improve the completeness and accuracy of RA data submitted to CMS and HHS. The Director ident


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