Risk Adjustment Encounter Submissions Manager jobs in United States
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Devoted Health · 9 hours ago

Risk Adjustment Encounter Submissions Manager

Devoted Health is a company focused on improving the health and well-being of older Americans. The Risk Adjustment Encounter Submissions Manager plays a crucial role in ensuring the timely and accurate submission of risk adjustment encounter data to CMS, while collaborating with various teams to enhance submission processes and compliance with regulatory changes.

Elder CareElderlyHealth Care
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Comp. & Benefits

Responsibilities

Review and monitor encounter data submissions for accuracy and completeness, identifying discrepancies and potential areas for improvement
Collaborate with cross-functional teams to implement and monitor corrective actions
Develop and maintain documentation of submission processes, including troubleshooting and resolution strategies for data submission errors
Educate and train stakeholders on policies, procedures, and best practices related to encounter data submissions
Stay up-to-date on regulatory changes and industry best practices affecting risk adjustment and encounter data submissions

Qualification

SQLData analyticsHealthcare experienceOperational processesAnalytical skillsCommunication skillsInterpersonal skillsAttention to detailOrganizational skillsProblem-solving

Required

Bachelor's degree in healthcare, data analytics, or a related field; advanced degree preferred
Excellent communication and interpersonal skills, with a collaborative approach to problem-solving
Strong attention to detail and organizational skills to manage multiple priorities effectively
Ability to take initiative and drive projects forward in a fast-paced environment
Strong analytical skills with a proven ability to interpret complex data sets and identify key insights
Ability to establish and improve operational processes

Preferred

Strong command of SQL; experience with Snowflake database
Minimum of five years of substantive health care experience, operational experience or other consulting experience

Benefits

Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....

Company

Devoted Health

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Devoted Health is a healthcare company serving seniors and giving them a health care plan with personal guides and world-class technology.

Funding

Current Stage
Late Stage
Total Funding
$2.26B
Key Investors
Andreessen HorowitzVenrock
2024-08-02Series E· $112M
2023-12-29Series E· $175M
2021-10-08Series D· $1.15B

Leadership Team

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Todd Park
Co-Founder, Executive Chairman
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Adam Baratz
Technologist
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Recent News

Company data provided by crunchbase