Government Programs Coordination of Benefits Administrator @ CAPE Health Plan (January 2002 - January 2006)
Risk Adjustment, Interim Director @ (April 2021 - April 2022)
Risk Adjustment, Manager @ (October 2017 - April 2021)
FACETS Configuration and Business Systems Analytics, Supervisor @ (June 2014 - October 2017)
Medicare Risk Adjustment and Revenue Administrator @ (April 2006 - June 2014)
Government Programs Claims Processing Manager @ Great Lakes Health Plan (January 2000 - January 2002)
Government Programs Electronic Data Interchange Administrator @ (January 1996 - January 2000)
Candy Smith Education
Jackson State University 1992-1996
Candy Smith Skills
Leadership
Batch Reports
Team Building
Vendor Contract Management
Provider Relations
Facets
Contract Management
PMO
Medicaid
Risk Adjustment Processing System
Infrastructure
Insurance
Training and Development
Medicare
Data File Repository Management
Health Policy
HIPAA
Enrollment Management
Mmr
Network Development
Payment
Communication
u.s. Health Insurance Portability and Accountability Act Hipaa
P2p
Healthcare
Policy and Procedure Management
Secure File Transfer Processessftp
Process Improvement
Data and Health Informatics
Strategic Planning
Rap
Reports
Claim
Presentation
Account Reconciliation
Trr
Pde
HMO
Business Analytics
Process Efficiency
Training
CMS
Policy
Employee Training
Managed Care
Communication Written/Oral
Enrollment and Disenrollment
Business Process Improvement
Management
Project Management
Mapd/Pdp Operations
Quality Control
Payment and Batch Reports
Healthcare Industry
Trizetto Facets System Processing
Health Insurance
Ifox
Project Management End to End Systems Implementations
Disease Management
File
Employee Benefits
Reconciliations
Performance Management
u.s. Health Insurance Portability and Accountability Act
Secure File Transfer Processes
Candy Smith Summary
Candy Smith, based in Grand Rapids, MI, US, is currently a Director, Risk Adjustment Strategic Performance at Emergent Holdings. Candy Smith brings experience from previous roles at CAPE Health Plan and Priority Health. Candy Smith holds a 1992 - 1996 Jackson State University. With a robust skill set that includes Leadership, Batch Reports, Team Building, Vendor Contract Management, Provider Relations and more. Candy Smith has 1 emails and 2 mobile phone numbers on RocketReach.
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