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Risk Adjustment Representative 3

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Job Details
Job Order Number
Company Name
Physical Address

Portland, ME 04104
Job Description


The Risk Adjustment Representative 3 schedules appointments and visits for Risk Adjustment Representative 2. Risk Adjustment Representative 2 scan medical records into a secure system and the records are reviewed by Humana’s Coding staff. 50% or more of time will be scheduling and another percentage of time will be pulling data/reporting.


Schedule appointments and visits to physician offices for Risk Adjustment Representative 2, in efficient manner to meet all deadlines. Also, will work on special projects, as assigned. Utilize systems to look up medical records, chart retrieval, and unassigned sites for Risk Adjustment Representative 2. Other responsibilities to include:

Pulling reporting from different systems

Report generation/development

Maintain reports

Analyze data for reporting

Required Qualifications

+ High School Diploma or equivalent

+ 1-3 years of technical experience

+ Strong written and verbal communication skills

+ Strong analytical, organizational and time management skill

+ Ability to travel locally to assist Medical Record Retrieval Representatives if needed

+ This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits

+ Strong knowledge of Microsoft Office XP products (Word, Excel, Access)

+ Advance skills in Microsoft Excel

Preferred Qualifications

+ Bachelor’s Degree

+ Knowledge and experience in health care environment/managed care

Additional Information

Scheduled Weekly Hours


About Us

Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms -when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact for assistance.

Humana Safety and Security

Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact to validate the request.

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