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RADV Analyst

7/11/2025

Remote

Job Summary

A company is looking for a Sr Business Analyst to support Medicare Risk Adjustment Data Validation projects.

Key Responsibilities
  • Conduct outreach to non-participating providers and manage RADV contracts
  • Oversee chart retrieval and coding review, ensuring timely submissions to CMS
  • Create and audit RADV packets while managing multiple data platforms
Required Qualifications
  • Experience in healthcare or RADV projects
  • Ability to work independently and manage multiple projects
  • Strong organizational skills for operational management
  • U.S. residency and a dedicated private work area for confidentiality
  • Secure handling of sensitive documentation

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