Overview
Job Details Full-timeEstimated: $100,000 – $140,000 a year2 hours ago Qualifications – Pivot tables – ICD-10 – Microsoft Excel – Communication skills – Microsoft Office – Bachelor’s degree – Master’s degree Full Job Description It’s Time For A Change.Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving power that brings us to work each day. We believe in embracing new ideas, testing ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans. Are we growing? Absolutely. We have seen about 30% average growth over the last three years. Are we recognized? Definitely. We were named one of ‘Becker’s 150 Great Places to Work in Healthcare’ in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving important Diversity and Inclusion (D & I) efforts: Evolent achieved a 95% score on its first-ever submission to the Human Rights Campaign’s Corporate Equality Index; was named on the Best Companies for Women to Advance List 2020 by and we publish an annual Diversity and Inclusion Annual Report to our progress on how we’re building an equitable workplace. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it. Evolent Health is looking for an Associate Director, Risk Adjustment Services who will work closely with internal partners and clients to lead risk adjustment, HEDIS and other quality initiatives. Develop recommendations and new operations models as needed, support the completion of client deliverables and maintain responsibility for the delivery of project activities. The role will also have ownership of managing the relationship with the client and market operations team specific to the risk adjustment and STARS/HEDIS body of work. The candidate would be located in the West Coast or Southwest region of the United States or could be remote. We are looking for team members that possess high energy, a strong work ethic, integrity, humor and who excel in a collaborative, team-oriented environment. What you’ll be doing: Develop long-term relationships with new and existing clients built on credibility and trust. Serve as the escalation point for client issues, ensuring internal and external customer satisfaction. Serve as the primary liaison between central RASQ operations and the client and market operations team; ensuring client needs are met. Develop strong understanding of client risk adjustment and Quality policies and processes to help guide business decisions. Collaborates with market representatives to lead the implementation and ongoing prospective and retrospective operations for risk adjustment and quality activities. Works with market teams to develop client strategies for risk adjustment and quality. Build and present clear and compelling PowerPoint and Excel deliverables that communicate data needs, process steps, progress toward goals and solutions to overcome risks as it relates to achieving the desired outcomes of risk adjustment and quality activities. Identify improvement opportunities and coordinate with internal teams to deliver results Balances the needs of the customer/client and operational need to ensure efficiency and effectiveness. Develops and manages project plans for solution implementation, process improvements, and other key changes within the operation Review and understand the operations performance and reports and provide direction to the markets and clients. Qualifications: Required Bachelor’s degree in Business or related degree 2-4 years of experience in health plan or physician practice operations 2-4 years of experience in account management Knowledge of risk adjustment methodologies and models Knowledge of HEDIS requirements Advanced Microsoft Office skills (e.g., Excel formulas and pivot tables) World-class listening and communication skills. Ability to multitask, prioritize, adapt to change and work well under pressure. The Experience you’ll need: Preferred: Master Degree in business, healthcare administration, or related degree Experience with Quality or HEDIS operations Experience in prospective and retrospective risk adjustment process and operations Knowledge of ICD10 documentation and coding requirements Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. Show full job description Apply Now