Principal Risk Adjustment Educator
Job Summary
To enhance coding and documentation accuracy for clients, the full-time remote Principal Risk Adjustment Educator will implement strategies, develop educational programs, and collaborate with internal teams to support Clinical Documentation Improvement initiatives.
Key responsibilities
- Owns and manages a comprehensive Risk Adjustment strategy, developing effective operating plans and education programs
- Delivers provider training and education in various formats, ensuring alignment with client needs and internal initiatives
- Collaborates with internal teams to meet client-specific goals while maintaining outstanding customer service
Required qualifications
- Bachelor's degree in health administration, business administration, or related field
- 8+ years of experience in healthcare, health plans, or managed care environments
- Knowledge of Risk Adjustment Payment methodologies and understanding of CMS HCC, HHS, and Medicaid
- Proven ability to create educational tools and deliver presentations effectively
- Strong critical thinking and data skills with a track record of implementing process improvements
Complete Job Description
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