Remote VP, Provider Risk Adjustment bei CorroHealth

 About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

JOB SUMMARY:

The VP, Provider Risk Adjustment is responsible for developing and leading provider-facing risk adjustment strategies that drive accurate coding, complete documentation, and improved risk score accuracy across value-based contracts.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

• Oversee all aspects of Provider Risk Adjustment Operations (domestic & global) and execution of best practices, standard operating procedures, operational strategy and processes for all related technology and solutions
• Serve as a key leader and subject matter expert within the organization and client-facing
• Partner with senior management and other departments executive to develop training and workflow improvements
• Advise senior management and other departments on provider risk strategies and initiatives
• Review and implement new technology tools and operational processes including requirements for dashboard reporting, benchmarking, prevalence metrics and workflow optimization
• Stay informed of all CMS, HCC, ICD requirements and changes
• Participate in staff meetings, client calls, conferences and other meetings as needed
• Coaching and mentoring to teams
• Perform other incidental and related duties as requested
• Travel to include internal meetings, client-facing meetings, conferences

Qualifications:

• 15+ years of related healthcare experience including Provider Risk Adjustment
• Management experience including responsibilities for hiring, training, assigning work and managing performance of staff
• Bachelor’s degree in business administration or related field. Master’s degree preferred.

Skills & Experience:

• Knowledge & understanding of ACA RA, Medicare Advantage RA, CMS, ACO’s, V24/V28, EMR’s & Interoperability
• Proven track record of building and operationalizing standard operating procedures policies, best practices, client-playbooks, pre and post implementation processes
• Knowledge of medical conditions, interventions, treatment and medications
• Excellent oral, written communication and analytical skills
• Ability to effectively articulate and present information
• Ability to engage with senior level business and clinical stakeholders with clients & prospects
• Ability to effectively articulate and present information internal & external stakeholders
• Experience working with Google Suite of applications, EMRs, Power BI, PowerPoint, Excel
• Ability to self-motivate and work independently
• Excellent organizational and time management skills
• Collaborative and team-oriented approach

Qualities & characteristics:

• Passion and perseverance to achieve short-term and long-term goals
• Ability to embrace change in rapidly evolving marketplace
• Creative problem solver
• Collaborative, innovative and team player
• High energy, strong engagement and work ethic

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

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