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Alternative Payment Model (APM) Business Analyst This role serves as the liaison between the Behavioral Health Administration (BHA) Finance Team, the Data & Evaluation Team and the Medicaid Management Information System (MMIS) team at the Department
Job Title Position is fully remote. No onsite work is required. Description of Job This position exists to support development of payment models and business processes with a level of technical expertise of healthcare payment business
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system