This role reports to SCIO/ EXL VP Risk Adjustment/Quality Reporting and is focused on effectively partnering with customers to deliver digital solutions that help to optimize risk adjustment, documentation accuracy, provider and network performance, and quality outcomes for the populations that they manage.
The SCIO/EXL solutions focus on population benchmarking for disease prevalence, risk stratification and risk adjustment, cost, utilization, quality, provider and network performance, and value and outcomes reporting. SCIO provides additional services that target the analysis and improvement of documentation and coding accuracy for risk adjustment and payment integrity, specifically targeted to value-based payment contracts. Additional services include analytic tools and services that support member engagement, care operations, quality measurement, and consumer analytics across health plans, providers, care and wellness companies and large employers.
As SCIO/EXL's solutions are designed to assist customers to operationalize effective analytic programs within the client environment, this position will strategically focus on the integration of analytical output into their digital environment, including EHRs, data warehouses, population health, and consumer-facing health systems.
The scope of the role includes the following functions:
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