Risk Adjustment Provider Educator

1 week ago


Boise, Idaho, United States Cambia Health Full time
{"title": "Risk Adjustment Provider Educator", "description": "About the Role

Cambia Health is seeking a highly skilled Risk Adjustment Provider Educator to join our team. As a key member of our Risk Adjustment Operations team, you will play a critical role in developing and implementing education initiatives to support network providers in achieving optimal risk adjustment performance.

Key Responsibilities
  • Develop and coordinate risk adjustment education initiatives with network providers
  • Coordinate outreach, communication, training, and education for providers identified as candidates for engagement
  • Work with key leaders within provider organizations to engage and drive successful performance
  • Assist senior leadership with special projects related to advancing value-based and innovative provider relationships
  • Participate in defining project deliverables, providing consultation, recommendations, and solutions
Requirements
  • Bachelor's degree in a related field
  • Minimum 5 years of Medicare Advantage or Commercial risk adjustment experience
  • Minimum 4 years of experience in a HCC Coding Audit or Network Management role
  • CRC credentials required
What We Offer

Cambia Health offers a competitive salary and benefits package, as well as opportunities for career growth and development. Our team is passionate about making a difference in the lives of our members and the healthcare industry as a whole.

", "lang_code": "en-US"}

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