Risk Adjustment Provider Educator

4 weeks ago


Olympia, Washington, United States Cambia Health Solutions Full time
Risk Adjustment Provider Educator

Cambia Health Solutions is seeking a 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.

About the Role

This is a unique opportunity to work with a purpose-driven organization that is dedicated to making healthcare easier and lives better. As a Risk Adjustment Provider Educator, you will be responsible for:

  • Developing and coordinating risk adjustment education initiatives with network providers
  • Coordinating outreach, communication, training, and education for providers identified as candidates for engagement
  • Working with key leaders within provider organizations to engage and drive successful performance
  • Assisting senior leadership with special projects related to advancing Cambia's value-based and innovative provider relationships
Requirements

To be successful in this role, you will need:

  • A bachelor's degree in a related field
  • Minimum 5 years of Medicare Advantage or Commercial risk adjustment experience, including a minimum of 4 years in a HCC Coding Audit or Network Management role
  • Equivalent combination of education and experience
  • CRC credentials are a must
What We Offer

Cambia Health Solutions offers a competitive salary range of $77k - $127k annually, depending on skills, experience, education, and performance history. We also offer a bonus target of 10% and a comprehensive benefits package.

At Cambia, we value our employees and offer a supportive and inclusive work environment. If you are a motivated and experienced professional looking for a new challenge, we encourage you to apply for this exciting opportunity.



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