Remote Risk Adjustment Admin Specialist

Humana; United States; Remote; USD 59,000 - 81,000; Full time

Job summary

Humana is seeking a Risk Adjustment Administration Professional I to upload CMS RADV packets to CDAT and conduct administrative reviews. Work involves coordinating with the retrieval team and other groups, with tasks driven by CMS deadlines and established procedures.

Candidate should have 2+ years of Excel experience, strong data verification skills, and the ability to navigate various software tools. Remote work is possible with travel as needed.

Qualifications

• 2+ years of Microsoft Excel experience.
• Software/applications navigation skills.
• Cross validation of data sets experience.
• Ability to verify member data matches prior to upload.

Responsibilities

• CMS RADV & CDAT: Uploading audit packets to the Central Data Abstraction Tool.
• Claims & Admin Review: Handling administrative claims review.
• Team Collaboration: Working closely with retrieval and other internal groups.

Skills

Microsoft Excel

Software/applications navigation

Cross data validation

Verify member data prior to upload

Job description

Humana is seeking a Risk Adjustment Administration Professional I to upload CMS RADV packets to CDAT and conduct administrative reviews. Work involves coordinating with the retrieval team and other groups, with tasks driven by CMS deadlines and established procedures.

Candidate should have 2+ years of Excel experience, strong data verification skills, and the ability to navigate various software tools. Remote work is possible with travel as needed.