Department: Health Services-RAPS
Reports to: Sr. Manager, Risk Adjustment Programs
Location: 10803 Hope Street, Cypress, CA 90630
WellCare has an exciting opportunity for a Risk Adjustment Auditor Educator to join our team! The selected candidate will conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care. Analysis of MRA data to identify patterns and development of interventions at the provider and market level. This role requires the selected candidate to travel (upwards of 70%) in the assigned territory.