Risk Adjustment Admin Professional

Location: Remote nationwide in the United States; occasional travel to hirify.global offices for training or meetings may be required.

Salary: $59,300–$80,900 per year

Company

hirify.global is a U.S. healthcare and insurance company serving Medicare, Medicaid, families, individuals, military service personnel, and communities.

What you will do

• Upload CMS RADV audit packets to the Central Data Abstraction Tool (CDAT).
• Conduct administrative reviews and claims reviews or investigations.
• Analyze data uploaded to CMS and review submitted packets.
• Verify that member data matches before upload.
• Collaborate with retrieval and other internal teams.
• Prioritize work to meet CMS-driven deadlines.

Requirements

• At least 2 years of Microsoft Excel experience.
• Experience navigating software and applications.
• Experience cross-validating data sets.
• Ability to verify matching member data before upload.
• Ability to work remotely from within the United States.
• Dedicated workspace and internet service with at least 25 Mbps download and 10 Mbps upload speeds to protect member PHI and HIPAA information.

Nice to have

• Experience reviewing and understanding CAS claims.
• Ability to work independently, prioritize tasks, and meet deadlines.
• Self-motivated, team-oriented approach.

Culture & Benefits

• Full-time schedule of 40 hours per week.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, company and personal holidays, and paid parental and caregiver leave.
• Short-term and long-term disability coverage and life insurance.