Galileo Search


Published: September 2, 2020

Description

Manager, Accountable Care Organization (ACO) Risk Adjustment Programs | Hospital | Maine

Competitive Compensation | Superb Benefits Program | Relocation Assistance

Galileo Search is conducting a search for an experienced Manager, ACO Risk Adjustment Programs for one of our preferred client hospitals based in New England. Our client is deeply rooted in the community and focused on delivering high-quality healthcare to every patient that comes through their doors.

Combine a fulfilling career with a living experience that includes enhanced quality of life in a town with a strong sense of community, and you have a recipe for success. This vibrant area receives high marks for housing and overall livability; you will find this to be the perfect location for the next step in your career!

Location:

Maine

Opportunity:

The Manager will work with Accountable Care Organization (ACO), Medical Group, and Finance leadership and teams to develop and implement comprehensive strategies to manage and drive improvement in our client’s end-to-end Hierarchical Condition Count (HCC) clinical documentation process for the organizations ACO’s at-risk populations. The Manager will work cross-functionally with internal clinical, administrative, and technical teams and payer partners to develop the tools, processes, and reporting required to ensure complete and accurate documentation and coding for the organization’s ACO’s populations.

Key Responsibilities and Duties:

• Implements and manages the work plans for the risk adjustment program, including working with leadership on approaches to structure an effective risk adjustment programs
• Responsible for facilitating the development and monitoring effectiveness of workflows and the overall accuracy and completeness of the medical record
• Manages the development of provider and care team education and training programs related to complete and accurate diagnosis coding
• Partners with medical group leaders to identify opportunities for improvement and implement best practices
• Works with appropriate teams and leadership to design actionable, accurate performance reporting that reflects the key processes and outcome measures
• Develop and support forums for review of Risk Adjustment key metrics with front line care teams and managers
• Finds opportunities for incorporation of quality gap closure into HCC gap closure workflows and collaborates with appropriate leadership to develop workflows
• Works collaboratively with Clinical Informatics and Revenue Cycle teams to align initiatives and ensure appropriate and complete data flow
• Leads staff assigned to risk adjustment; provides guidance and engagement of staff; and builds effective teams to achieve established goals and within established budgets
• Serves as the risk adjustment expert in the organization and remains up to date on industry best practices
• Maintains expert knowledge of the risk adjustment process, including regulatory changes impacting the program

Qualifications:

• Bachelor's degree in business, health administration, health policy, finance or a related field
• Medical coding certification required (CPC, COC, CIC, CCS-P or CCS) - CRC preferred or ability to obtain within 1 year of hire
• 3-5 years of experience in Medicare Risk Adjustment
• 2+ years of people management experience desired
• Knowledge of diagnoses/procedures in accordance with current ICD coding principles
• Experience in the areas of provider relations, education and training of providers and medical office staff\
• Experience working across sectors, and/or in a highly complex, matrixed organization. Excellent organizational, project and program management skills
• Experience leading change and implementing programs
• Strong quantitative and analytical skills
• Demonstrated ability to be an effective, collaborative partner with internal and external stakeholders
• Excellent written and verbal communication skills

Facility:

Acute Care Hospital System

About Galileo Search:

Galileo Search, LLC partners with hospitals and healthcare organizations across the United States to identify, recruit and retain the most accomplished professionals and executives in the industry. Our clients include community and critical access hospitals, health systems, academic medical centers, and Fortune 500 corporations. To learn more about Galileo Search, LLC, visit our website at www.galileosearch.com

Are you ready for an exceptional career search experience? Take the first step.

Forward your resume for confidential review or call to discuss this or other available career opportunities. Submit your resume via email for immediate consideration or use our convenient online Galileo Candidate Registry.

Job ID:

Job-028508

Keywords:

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