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Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con
Posted 8 days ago
Leadership and Performance Management Develops short term and long term strategies to meet risk adjustment accuracy goals and requirements. Works internally, and with BCBSA, providers, and vendors to review programs, processes, and data collection for improvement opportunities. Manages the production of performance dashboards to monitor and report ongoing performance agai
Posted 6 days ago
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