Salem Health
Senior Risk Score Data Analyst
This job is now closed
Job Description
- Req#: RQ4009656
Employer Industry: Healthcare
Why consider this job opportunity:
- Competitive salary with opportunities for career growth and advancement
- Flexible work options, including the ability to work remotely from most U.S. states
- Engaging work environment focused on diversity, equity, and inclusion
- Chance to lead impactful risk adjustment-related projects within a leading integrated healthcare system
- Opportunity to work with accomplished professionals and contribute to innovative solutions in patient care
What to Expect (Job Responsibilities):
- Lead all internal and external risk adjustment projects from conception to implementation
- Manage vendor relationships and negotiate contracts as needed
- Develop and present complex analytics to communicate ongoing financial performance
- Ensure compliance with CMS and MassHealth risk-related activities and participate in audits
- Develop strategies for provider training, education, and medical management
What is Required (Qualifications):
- Bachelor’s degree required; Master’s degree preferred
- Minimum of 3-5 years of risk adjustment experience
- Experience leading complex projects and presenting analytics to executive levels
- Knowledge of HHS Commercial Risk Adjustment, CMS Risk Adjustment, and related guidelines
- Medical coding certification or equivalent experience preferred
How to Stand Out (Preferred Qualifications):
- 1-2 years of leadership experience in a relevant field
- Previous experience with CMS risk adjustment audits (RADV)
- Familiarity with the CMS-HCC model and other relevant coding and documentation guidelines
#Healthcare #RiskAdjustment #ProjectManagement #RemoteWork #DiversityAndInclusion
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
Salem Hospital is a non-profit, regional medical center located in Salem, Oregon, United States.
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