Candy D. Smith
Director, Risk Adjustment Strategic Performance @ Emergent Holdings | Certified ScrumMaster®
- Role
- Director, Risk Adjustment Strategic Performance at Emergent Holdings
- Location
- Grand Rapids, MI, US
- LinkedIn followers
- 500 followers
About Candy D. Smith
A servant leader with 25+ years of multi-dimensional experience in Medicare, ACA, and Medicaid markets. With a demonstrated high-performance record for developing and delivering strategic results in an integrated delivery systems approach and a direct aim towards consumer experience, market growth, and margin goals
Experience
Director, Risk Adjustment Strategic Performance
May 2022 — Present · MI, US
Skills
- Enrollment and Disenrollment
- U.s. Health Insurance Portability and Accountability Act (Hipaa)
- Network Development
- Hipaa
- Trizetto -Facets System Processing
- Communication – Written/Oral
- Data File Repository Management
- Training & Development
- Training
- Reports
- Vendor Contract Management
- Reconciliations; Ifox, Trr, Mmr, Pde, P2p, Rap, Payment and Batch Reports
- Data & Health Informatics
- Medicare
- Policy
- Performance Management
- Employee Training
- Disease Management
- Project Management- End to End Systems Implementations
- Healthcare Industry
- Quality Control
- Enrollment Management
- Presentation
- Health Policy
- Claim
- Process Efficiency
- Hmo
- Provider Relations
- Medicare Part D
- Process Improvement
- Medicaid
- Insurance
- Communication
- Healthcare
- Leadership
- Strategic Planning
- Business Process Improvement
- Health Insurance
- Managed Care
- Management
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