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Emergent Holdings Senior Analyst -- RADV Audits in Southfield, Michigan

EMPLOYMENT QUALIFICATIONS:EDUCATION:Bachelor's degree in a related field. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.EXPERIENCE: Two (2) to four (4) years experience in related field. Analyst experience required with proven experience in operational analysis, data analysis, and problem resolution type activities.SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: * Knowledge of RADV audits and Risk Adjustment. * Analytical, organizational, planning and problem solving skills * Understanding and knowledge of the business, products, programs, corporate organizational structure (including functional responsibilities), and basic research principles/methodologies * Ability to plan, organize, direct, and control projects. * Excellent written and verbal communication skills. * Ability to lead and contribute to process improvement projects. * Ability to read and interpret documents such as data flows, process flows, technical diagrams, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. * Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. * Administer and adhere to corporate and departmental policies, practices and procedures. WORKING CONDITIONS:Work is performed in an office setting with no unusual hazards.The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description. We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an -at will- basis. Nothing herein is intended to create a contract.SUMMARY:This key role will provide support in the planning, evaluation, project management and performance that support the mandated CMS RADV audits as required for both ACA and MA segments. This position will require the candidate possess analytical and strategic thinking skills typically attained from experience with interpreting CMS regulations and participation in the RADV audit process.RESPONSIBILITIES/TASKS: * Produce oversight for and coordination of various stakeholder teams, investigate and monitor regulations and changing CMS guidance, and ensure updates are incorporated into protocols for maintaining CMS compliance and continuous process improvements. * Develop statistical reporting, weekly metrics, detailed project plans and schedules. Support goals and objectives and identifies and communicates risks to leadership. * Monitor audit status for any significant deviations in timeline that may produce risk. * Identify opportunities to support strategy development through close collaboration and thorough analysis with various departments such as Strategy, Data and Analytics teams client Claims and Enrollment teams, and external vendors for project execution, problem solving and continuous process improvements. * Represent leadership staff at meetings in their absence * Assist with the development and delivery of business process design documentation and improvement methodologies. * Possess and maintain a compr

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