Teams at Advantmed, LLC

Reviews, drafts, negotiates, and manages health plan, provider, vendor, technology, employment, confidentiality, and business associate agreements. Coordinates contract reviews, maintains legal records and repositories, tracks contract lifecycles, and supports compliance and governance involving Medicare, Medicaid, HIPAA, privacy, regulatory filings, audits, and corporate matters.

Analyze Medicare Advantage and ACA risk adjustment data, CMS datasets, claims, encounters, eligibility, pharmacy, and medical record data. Develop SQL queries, reports, scorecards, dashboards, forecasts, and recommendations to improve risk adjustment performance, data quality, operational efficiency, and revenue. Partner with clients, executives, operations, technology, and analytics teams on solution development, process improvement, and strategic initiatives.