Director of Risk Adjustment & Quality Record Retrieval

Become a part of our caring community The Director of Risk Adjustment& Quality Record Retrieval is responsible for leading front-line record retrieval operations that support several top strategic priorities for Humana. These high-profile priorities include Risk Adjustment’s Chart Review program, Risk Adjustment internal and external audits (e.g., CMS Risk Adjustment Data Validation [RADV] audits), quality initiatives such as HEDIS, and other projects as needed. The Director works collaborative…