Risk Adjustment Operations Manager

2 days ago

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Aledade, Inc.

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Accountable Care Organizations (ACOs) • Health Information Technology • Data Analytics • Physician Collaborations

501 - 1000

Description

• This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. • The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs, using skills including, but not limited to: capability analysis and definition; operating model definition; incentive model design; governance and decision rights; process engineering, and metrics design. • The incumbent works closely with senior/executive leadership, Physicians and technical staff within the Enterprise and within strategic partners, to identify, prioritize, and deliver large and small scale projects that advance business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. • Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities, as well as driving continuous improvement efforts. • Will be responsible for professional coaching and mentoring of program team members

Requirements

• Bachelor's Degree in Business Administration/Management or Computer and Information Science; Six (6) years relevant and progressive experience in lieu of Bachelor's degree • 7 - 10 years Project / Program Management: to include 3 - 5 years Leadership; 3 - 5 years Risk Adjustment; 1 - 3 years Strategic Planning • Master's Degree in Business Administration/Management of Healthcare Administration (preferred) • 3 - 5 years Healthcare Industry experience (preferred) • 1 -3 years Consulting experience (preferred) • 1 -3 years Cross-Functional Project Teams experience (preferred) • Project Management Professional (PMP) (preferred)

Benefits

• Flexible work schedules and the ability to work remotely are available for many roles • Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners • Robust time off plan 21 days of PTO in your first year 2 Paid Volunteer Days & 11 paid holidays • 12 weeks paid Parental Leave for all new parents • 6 weeks paid sabbatical after 6 years of service • Educational Assistant Program & Clinical Employee Reimbursement Program • 401(K) with up to 4% match • Stock options • And much more!