Job Position: Vice President Risk Adjustment

RESPONSIBILITIES:

•        Lead the company’s strategy and operations for Fraud, Waste, Abuse and Error for Risk Adjustment insurance programs

•        Network and attend conferences within the healthcare insurance risk adjustment community

•        Develop, design and test product enhancements and project workflow for risk adjustment modules and analytics

•        Provide Subject Matter Expertise to clients as needed

•        Provide Sales Support as needed

•        Conduct system demonstrations to existing and potential clients as needed

•        Develop educational content for staff, clients, and the risk adjustment industry and make presentations at industry conferences

•        Assist in the development of sales/marketing content

•        Understands and complies with all company Privacy and Security standards

•        Employee may not use or disclose any protected health information, except as otherwise

•        Travel to client sites as needed

•        Other duties as needed

•        Reports to the Executive Vice President

 

 

KNOWLEDGE, SKILLS, & ABILITIES  

•        Minimum of 5 years of industry experience in healthcare insurance risk adjustment

•        At least one or more relevant industry certifications including CRC, RHIA, CCS-P, and CPC

•        Knowledge of HCC, CPT, ICD-10 & HCPCS required

•        Strong technical background and ability to understand complex product functionality, design and technical issues

•        Ability to manage and multi-task across multiple projects, features and teams

•        Experience working with remote teams

•        Knowledge of Microsoft Office applications (i.e. Word, Excel, Outlook, PowerPoint, etc) and other tools related to project management

•        Strong interpersonal skills

•        Problem solving

•        Deep knowledge of medical coding and healthcare risk adjustment programs

•        This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.

BENEFITS

·        Medical, Dental & Vision insurance

·        401(k) retirement savings with employer match vesting immediately

·        Vacation and sick paid time off

·        8 paid holidays

·        Paid maternity/paternity leave

·        Disability & Life insurance

·        Flexible Spending Account (FSA)

·        Employee Assistance Program (EAP)

·        Free on-site fitness center

·        Professional and career development initiatives

·        Remote work eligible

REMOTE WORK REQUIREMENTS

·        Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload. 

Healthcare Fraud Shield is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.