Risk Adjustment Encounter Submissions Manager - Remote

Overview

The Risk Adjustment Encounter Submissions Manager leads efforts to ensure accurate and timely submissions of risk adjustment data to CMS, collaborating with various teams to enhance operational efficiency.

In Short

• Manage encounter data submissions for accuracy and completeness.
• Collaborate with cross-functional teams for process improvements.
• Develop documentation for submission processes.
• Educate stakeholders on best practices.
• Stay updated on regulatory changes affecting submissions.
• Review and monitor data discrepancies.
• Drive projects in a fast-paced environment.
• Utilize SQL and Snowflake for data analysis.
• Five years of healthcare experience required.
• Strong communication and analytical skills needed.

Requirements

• Bachelor’s degree in healthcare or related field; advanced degree preferred.
• Excellent communication and interpersonal skills.
• Strong attention to detail and organizational skills.
• Ability to drive projects forward.
• Strong analytical skills with complex data.
• Experience with operational processes.

Benefits

• Employer sponsored health, dental, and vision plans.
• Generous paid time off.
• $100 monthly mobile or internet stipend.
• Stock options for all employees.
• Bonus eligibility for various roles.
• 401K program.
• Parental leave program.