Risk Adjustment Revenue Manager
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Risk Adjustment Revenue Manager responsible for risk adjustment strategy and revenue management for Security Health Plan. Collaborating with executives to enhance coding accuracy and auditing processes in healthcare.
Responsibilities:
- The Risk Adjustment Revenue Manager is responsible for risk adjustment strategy and related revenue management for Security Health Plan’s Medicare, Affordable Care Act and Medicaid business.
- This individual provides development and implementation of programs and initiatives to improve the accuracy of the coding, including education; retrospective and prospective review processes; and vendor contract management;
- Accountability for preparation for and management of the Centers for Medicare and Medicaid Services (CMS) and the Department of Health Services (DHS) auditing processes;
- Management of encounter data processes; and management of applicable state and federal guidance.
- The Risk Adjustment Revenue Manager works collaboratively with Security Health Plan executives and leadership as well as Marshfield Clinic Health System (MCHS) executives and leadership to lead risk adjustment strategy and process.
Requirements:
- Bachelor’s Degree in Business Administration, Finance, Health Care Administration, Management or related field required.
- Five years of experience in risk adjustment or related area.
- Three years of experience in a management or leadership role and experience in the healthcare industry.
- Demonstrate a broad understanding of healthcare and health insurance.
- Demonstrate proficiency with verbal and written communication, strategic planning and business acumen.
- Certifications in professional coding and risk adjustment coding from American Academy of Professional Coders.
- State of Wisconsin driver’s license with an acceptable driving record.
Benefits:
- Benefits for temporary positions vary.
- Details will be discussed in the interview process.
Report this job
Job expired or something wrong with this job?
Similar Jobs
Head of Revenue Operations
Head of Revenue Operations overseeing sales forecasting, deal governance, and strategic partnerships at Mapbox. Engaging with data to drive decision making and operational efficiencies.
RevOps Analyst
Revenue Operations Analyst optimizing systems for client success and sales at Consensus. Partnering across teams to enhance data strategies and operational efficiency for revenue growth.
Revenue Operations
Lead revenue operations at Prime Intellect, optimizing systems for growth and customer teams. Engage in data models, processes, and clear decision-making.
Senior Revenue Operations Specialist
Senior Revenue Operations Specialist at Kodex optimizing sales processes and managing CRM systems. Collaborating with cross-functional teams to enhance operational efficiency and data quality.
VP, Revenue Operations
VP, Revenue Operations at Bamboo Health, responsible for revenue strategy, team leadership, and process optimization. Join a leader in Real-Time Care Intelligence solutions tackling health challenges.
Director, Revenue Operations
Director of Revenue Operations driving operational excellence across Tempo's go-to-market organization. Partnering with Sales, Customer Success, and Finance to design and optimize processes.
Senior Revenue Operations Manager
Revenue Operations Manager leading revenue operations strategy for Individual Doctors segment at Doctoralia. Overseeing marketing, sales, and customer success operations for the largest healthcare platform.
Senior RevOps Manager
Revenue Operations Manager leading strategy for the Individual Doctors segment. Collaborating with Marketing, Sales, and CS to optimize revenue funnels and drive growth.
CRO Specialist
CRO Specialist optimizing patient conversion through data-driven experiments at healthcare advocacy marketplace. Collaborating cross-functionally to improve patient experiences and outcomes.
Head of Revenue Enablement – EMEA
As the Head of Revenue Enablement at XBOW, you'll architect the go-to-market strategy in the evolving cybersecurity landscape, bridging product capabilities and sales execution.
Head of Revenue Enablement – AMER
Architecting go-to-market excellence as the first hire in Sales Enablement at XBOW. Collaborating across teams to build instructional materials and enhance sales performance with AI-driven training.
Revenue Operations – Systems Manager
Revenue Operations Systems Manager responsible for rebuilding GTM systems at AfterShip. Collaborating with global teams to enhance post-purchase eCommerce experiences.
RevOps Analyst – Marketing Operations
Revenue Operations Analyst focusing on marketing operations at Censys. Supporting lead generation to pipeline reporting with data-driven solutions.
Vice President, Revenue Operations
Vice President of Revenue Operations architecting growth strategies for ReSource Pro. Integrating people, data, technology, and AI to accelerate revenue growth.
Revenue Operations Analyst – Fixed Term
Revenue Operations Analyst assisting the sales team in handling proposals and security questionnaires. Collaborating with various departments to facilitate workflows in a fast-paced SaaS environment.
Senior Analyst – Revenue Operations
Senior Analyst in Revenue Operations at Adobe, transforming data insights into strategic actions. Collaborating with Sales and GTM teams to drive growth and measurable outcomes.
Revenue Operations Manager
Revenue Operations Manager responsible for optimizing processes and data at Apollo. Working closely with Revenue leadership to enhance sales productivity and performance metrics.
Director, Revenue Operations
Director of Revenue Operations managing systems and processes for Pavilion's growth. Collaborating cross-functionally to enhance member lifecycle and ensure operational efficiency.
Revenue Operations Manager
Lead Revenue Operations at an AI observability platform, enabling data-driven decisions for sales teams. Collaborate cross-functionally to streamline operations and improve efficiency.
Project Coordinator, Revenue Operations
Project Coordinator for Revenue Operations at Cengage Group optimizing revenue processes and improving operational efficiency while ensuring project execution aligns with organizational goals.