Adjustment Clerk reviews and follows up on customer complaints regarding account balances and uncredited items. Analyzes associated documents and makes necessary adjustments to accounts and/or recommendations to resolve customer issues. Being an Adjustment Clerk communicates results of findings to customer. Requires a high school diploma or its equivalent. Additionally, Adjustment Clerk typically reports to a supervisor or manager. The Adjustment Clerk possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Mid-Atlantic Permanente Medical Group (MAPMG) invites applications for a Risk Adjustment Manager to join our Operational Finance department. This position is a full-time based out of our regional office located in Rockville, Maryland with a hybrid work model.
Mid-Atlantic Permanente Medical Group is comprised of more than 1,700 Permanente physicians and nearly 300 staff professionals who come together to make a positive impact on the health and lives of more than 800,000 members in Virginia, Maryland, and the District of Columbia.
Reporting to a Director of Operational Analytics, the Risk Adjustment Manager oversees risk adjustment operations and outcomes across the organization's assigned products, focusing on identifying areas for improvement and implementing effective processes. You will also support internal Risk Adjustment Data Validation (RADV) monitoring programs and audits, interpret statistical analyses to enhance quality and population health, and collaborate with provider leadership to maintain and enhance risk adjustment accuracy.
You can expect to:
What is required:
Competitive Benefits:
Equity, Inclusion, and Diversity:
MAPMG continuously works to identify and mitigate healthcare inequities, and that starts with providing an inclusive, supportive environment for our physicians and staff. We encourage applicants of any race, color, religion, sex, sexual orientation, gender identity, or national origin who value diversity and will commit to practicing culturally competent healthcare.
External hires must pass a background check and drug screening.
We are proud to be an equal opportunity/affirmative action employer.
We value our diversity and E/O/E M/F/D/V.
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