Risk Adjustment Revenue Manager - Remote

Overview

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.

In Short

• Responsible for risk adjustment strategy and revenue management.
• Develop and implement programs to improve coding accuracy.
• Manage auditing processes with CMS and DHS.
• Collaborate with executives and leadership teams.
• Five years of experience in risk adjustment or related area required.
• Three years in a management or leadership role.
• Proficient in verbal and written communication.
• Certifications in professional coding required.
• State of Wisconsin driver’s license needed.
• Equal Opportunity/Affirmative Action employer.

Requirements

• Bachelor’s Degree in Business Administration, Finance, or related field.
• Preferred: Post graduate degree(s).
• Broad understanding of healthcare and health insurance.
• Working knowledge of CMS and/or Medicaid methodologies preferred.
• Experience in healthcare industry is essential.
• Strong strategic planning and business acumen skills.
• Ability to manage encounter data processes.
• Accountability for vendor contract management.

Benefits

• Level 1 benefit package for positions listed as 30+ hours per week.
• Level 2 benefit package for positions listed as 20-29 hours per week.
• Temporary position benefits vary.
• Opportunities for career growth and community connection.
• Supportive work environment focused on patient care.