- Serve as the Relationship Owner and Strategic Partner for key markets/provider groups in collaboration with Market Leadership
- Provide guidance and consultative feedback to groups, MSOs and IPAs to drive provider engagement and adoption of Optum program and provide recommendations for improvement (Strategy Meetings)
- Partner with business owners to identify methods to execute on key goals and initiatives
- Effectively manage In-Office Assessment Program
- Ability to review risk adjustment key performance data (Prevalence, RAF, recapture, etc.) to assist in development of programs and initiatives for risk accuracy
- Collaborate and coordinate with stakeholders and project teams
- Deliver effective presentations with targeted audiences that include senior leadership with groups and MSOs
- Provide program progress and updates to leadership
- Work in collaboration with team coders to execute education at provider level
- Work with senior leaders to continue to drive progress and performance. Provide guidance to team members in driving provider engagement and adoption of Optum program and provide recommendations for improvement
- Work with the business to develop program success metrics and ongoing performance metrics
- Provides solid leadership and judgment; effectively build and deepen relationships across business
- Create a team-oriented work climate that enables professional development and encourages creative solutions and strategies, establishes collaboration and emphasizes quality and cost
- Ability to travel 70% of time throughout the region, mostly day trips
- 5+ years of experience working in the healthcare market
- 5+ years of experience working in the risk adjustment space
- Intermediate level of experience analyzing and interpreting data to create tactical action plans
- Demonstrated ability to influence and to drive projects without formal authority
- Proven ability to develop and present to senior leadership/executives
- Currently reside in the Southern California market
- Ability to travel 50-75% of the time within your designated territory
- CPC, CRC or other coding certification
- 1+ years of coding performed at a health care facility
- Clinical work experience (i.e. LPN, RN, NP)
- Experience in management position in a physician practice
- Experience within the healthcare payer market
- Expertise in chronic condition areas (i.e. oncology, diabetes, etc.)
- Knowledge of the Healthcare industry including physician practices, market access, insurance, managed care, organized delivery systems, STARs/HEDIS, Value based care and risk adjustment models
- Knowledge of billing/claims submission and other related actions
-
Risk Adjustment Specialist
2 weeks ago
Optum Kansas City, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
-
Medical Assistant
1 week ago
Actalent Independence, United States Full timeDescription: · x2 Positions - Float and non-floating MA roles · Phlebotomy will take up 80% of their duties during the day · Conduct intake with patients, measuring and recording vital signs, patient interview, and medical history; perform examinations and routine screenings, en ...
-
Carpenter's assistant
2 weeks ago
Stellar Innovations Merriam, United StatesOur client, a specialist in roller shutter boxes, is currently seeking a carpenter's assistant (m/f/d) for temporary employment. · Carpenter's Assistant (m/f/d) · AUGUSTA Personnel Services GmbH has been active in the field of personnel placement for 29 years. Are you looking for ...
-
Machining Technician
2 weeks ago
Crimson Ventures Overland Park, United StatesMachinist (m/f/d) CNC Turner Due to our extensive experience in the German job market, renowned and future-oriented companies have trusted the personnel service of the expertum Group for 30 years. We bring together the ideas and wishes of excellent candidates with the requirement ...
-
K-5 Teacher
3 weeks ago
The WIDE School Missouri City, United StatesOur school is unique in countless ways. W.I.D.E. School is licensed by the Texas Department of Family and Protective Services and has a partnership with AltSchool, a growing community of educators working to transform education for all students. W.I.D.E. School is a private schoo ...
-
High School Math Teacher
3 weeks ago
The WIDE School Missouri City, United States**Our school is unique in countless ways. WIDE School is licensed by the Texas Department of Family and Protective Services and has a partnership with AltSchool, a growing community of educators working to transform education for all students. WIDE School is a private school, ins ...
-
Client Intake Specialist
2 weeks ago
Lewis Brisbois Kansas City, United StatesThe Kansas City office of Lewis Brisbois are seeking a Client Intake Specialist with legal experience. The Client Intake Specialist is responsible for handling the intake process for their local office by organizing and tracking new client data and processing new matter memos. Es ...
-
Client Intake Specialist
2 weeks ago
Lewis Brisbois Bisgaard & Smith LLP Kansas City, United StatesOverview · The Kansas City office of Lewis Brisbois are seeking a Client Intake Specialist with legal experience. The Client Intake Specialist is responsible for handling the intake process for their local office by organizing and tracking new client data and processing new matte ...
-
Sr. Revenue Cycle Associate
1 week ago
Meritas Health Kansas City, United StatesMeritas Health is hiring a Senior Revenue Cycle Associate to join our Central Services Billing team in the Northland# If you#re looking for a great opportunity to serve our community and be part of a growing organization, join our Meritas team Here at Meritas our mission is to pr ...
-
Pediatric Support Specialist
1 week ago
Swope Health Services Kansas City, United StatesThe Pediatric Support Specialist provides a variety of direct services to Pediatrics clients designed to maintain the client in the community. · Primary Functions · 1.Assessing and monitoring an individual's adjustment to community living. · 2.Providing individual assistance t ...
-
Burrell Behavioral Health Kansas City, United StatesJob Description: · The Work Site Support Specialist is responsible for providing a work-based learning experience in a competitive integrated setting for eligible VR clients who are enrolled in high school. The Work Site Support Specialist will facilitate on-site support, as wel ...
-
Dentist
2 weeks ago
Docs Health Kansas City, United StatesJob Type · Full-time · Description · Join a team with the unique opportunity to provide exceptional comprehensive care in a state-of-the-art private practice to the civilian military community at Fort Leavenworth, KS. · Now is the time to take your career to the next level with f ...
-
Shipping Receiving Specialist
2 weeks ago
Jarbo North Kansas City, United StatesJob Summary- Shipping/Receiving Specialist: Creates, verifies and keeps records on all incoming and outgoing shipments and prepares items for shipment, loads and unloads trucks by performing the following duties. · Responsibility Summary - Shipping/Receiving Specialist: · Compa ...
-
Dentist
1 week ago
Docs Health Kansas City, United StatesJob Description · Job TypeFull-timeDescription Join a team with the unique opportunity to provide exceptional comprehensive care in a state-of-the-art private practice to the civilian military community at Fort Leavenworth, KS. Now is the time to take your career to the next leve ...
-
Dentist
1 week ago
Docs Health Kansas City, United StatesJob Description · Job TypeFull-timeDescription Join a team with the unique opportunity to provide exceptional comprehensive care in a state-of-the-art private practice to the civilian military community at Fort Leavenworth, KS. Now is the time to take your career to the next leve ...
-
Certified Peer Specialist
1 week ago
Tri-County Mental Health Services Kansas City, United StatesCertified Peer Specialist · Summary · **Title:** Certified Peer Specialist · **ID:** 5606 · **Department:** Adult Community Support · **Salary Range:** N/A · **Employment Status:** Full-time · Description · ***This position is eligible for one time bonuses at 6 month and one year ...
-
AP Specialist
3 days ago
Strategic Staffing Solutions Kansas City, United StatesAP Specialist · Location: Kansas City, MO, 64105 · Contract: 12 Months + · Pay rate: $21.14-$23.15/hr · Job Description: · • Primary responsibility is reviewing the scanning and interpretation results from the Symbeo software. · • Adjustments to the results may be required du ...
-
Sherwood Autism Center Kansas City, United StatesJob Description · Job DescriptionFLSA Classification: · Non-Exempt · Reports to: · Director of Adult Services · Job Description · Summary: · Do you want to play an integral role in a dynamic organization? We are looking for an Habilitation Specialist/DSP who wants to assist our o ...
-
X Ray Technician Limited Scope
10 hours ago
Concentra Kansas City, KS, United States Full timeOverview: Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time ...
-
Dentist
2 weeks ago
Docs Health Kansas City, United StatesJob Type · Full-time · Description · Join a team with the unique opportunity to provide exceptional comprehensive care in a state-of-the-art private practice to the civilian military community at Fort Leavenworth, KS. Now is the time to take your career to the next level with ful ...
Risk Adjustment Specialist - Kansas City, United States - Optum
Description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
As a Risk Adjustment Specialist, you will serve as the relationship owner and strategic partner for the Provider Market across the state of Southern California. Your primary goal is to drive provider engagement and the adoption of Optum Risk Adjustment programs through a consultative approach.
If you reside in Southern California, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy
California Residents Only: The salary range for California residents is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, youll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
