Risk Adjustment Specialist (Clinical)

Title: Risk Adjustment Specialist (Clinical) Location: Remote-PA Full-time Job reputed company: You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you'll have reputed company to competitive benefits including a fresh perspective on workplace flexibility. • reputed company candidates must reputed company in the state of reputed company* Position Purpose: Support the development and maintenance of Risk Adjustment reputed company programs and reporting. Aid in working with Risk Adjustment vendors for programs reputed company reputed company lines of business. • Aid in the development and support of company-wide Risk Adjustment initiatives reputed company reputed company product lines and assist in vendor management reputed company to those initiatives • Help train providers and Health Plan staff in Risk Adjustment methodologies and activities to continue to improve reputed company’s Risk Adjustment score – some travel maybe required • Research and assist in development of best practices into operations for Risk Adjustment • Prepare operational workflows specific to reputed company product business requirements and the local market dynamics • Prepare and participate in meetings with various committees and providers • Performs other duties as assigned • Complies with reputed company policies and standards Education/Experience: Bachelor’s degree or equivalent experience. 2 years of reputed company improvement or clinical experience required. Bachelor’s degree in nursing and experience in managed care industry preferred. Risk adjustment and reputed company reputed company experience preferred. Up to 10% in-state travel required. Pay reputed company: $55,100.00 - $99,000.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply Job! Apply to this Job