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Delaware Department of Justice, Medicaid Fraud Control Unit

Wilmington, Delaware

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Newark, Delaware

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Manager, Quality Improvement and Data Science
JOB SUMMARY The Manager, Quality Improvement and Data Science is responsible for the implementation and coordination of Conifer VBC Quality Program and Risk Adjustment for Financial Risk Management (FRM) clients. The scope of work include improving quality of care and optimizing risk adjustment revenue across Conifer IPAs through daily monitoring and operations of Health Plan Pay for Performance (P4P) Incentive Program, HCC risk adjustment, HEDIS, CMS STARS and other quality improvement and risk adjustment programs. The position requires the ability to design and conduct in-depth analytics and research to support quality improvement and risk adjustment programs and to provide oversig


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