The Pharmacy Quality Assurance Analyst ensures pharmacy operations align with CMS and NCQA regulatory standards through internal audits and process improvements. This role involves analyzing claims data, managing corrective action plans, and supporting system enhancements to maintain compliance.
The Senior Risk Adjustment Coding Auditor is responsible for ensuring accurate and compliant risk adjustment coding across Medicare Advantage programs. This role involves conducting quality assurance audits, supporting RADV regulatory reviews, and collaborating with vendors to improve coding performance.
The manager is responsible for the end-to-end administration of broker commissions and the optimization of sales operations processes. They will partner with cross-functional teams to ensure financial accuracy, data integrity, and the implementation of system enhancements.
