Candy D. Smith
Director, Risk Adjustment Strategic Performance @Emergent Holdings
Grand Rapids, MI, US
EMAILS
MOBILE NUMBERS
+91 *********19
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WORK HISTORY
May 2022 — Present
Director, Risk Adjustment Strategic Performance @Emergent Holdings
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MI, US
SKILLS
Enrollment and DisenrollmentU.s. Health Insurance Portability and Accountability Act (Hipaa)Network DevelopmentHipaaTrizetto -Facets System ProcessingCommunication – Written/OralData File Repository ManagementTraining & DevelopmentTrainingReportsVendor Contract ManagementReconciliations; Ifox, Trr, Mmr, Pde, P2p, Rap, Payment and Batch ReportsData & Health InformaticsMedicarePolicyPerformance ManagementEmployee TrainingDisease ManagementProject Management- End to End Systems ImplementationsHealthcare IndustryQuality ControlEnrollment ManagementPresentationHealth PolicyClaimProcess EfficiencyHmoProvider RelationsMedicare Part DProcess ImprovementMedicaidInsuranceCommunicationHealthcareLeadershipStrategic PlanningBusiness Process ImprovementHealth InsuranceManaged CareManagement
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
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