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Advanced Health is Currently Hiring REMOTE/HYBRID Quality & Risk Adjustment Mgrs $39.31- $46.45/HR


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Advanced Health is searching for collaborative, innovative people committed to a shared community vision for health to join their team! Advanced Health is currently hiring REMOTE/ HYBRID Quality and Risk Adjustment Managers. This position plans implements and evaluates Advanced Health’s Quality Management and Risk Adjustment Program Strategies. By working on improvement initiatives and projects with staff, business partners, consumers, and community members, this position ensures compliance with related OHA-CCO quality management and improvement goals and metrics, performance measure validation, process improvement implementation, reporting, and ensuring culturally appropriate care and corporate plans and policies. This position ensures effective Risk Adjustment Program Strategies by ensuring accurate documentation of Member conditions and appropriate plan reimbursement to support quality patient care, serving as the primary risk adjustment liaison for all involved stakeholders, including Quality, Finance, Analytics, and Executive leadership. This position requires the technical, analytical, and interpersonal experience needed to identify, analyze, and solve problems related to quality improvement, HCC coding, encounter accuracy, and stakeholder education.



Qualification/ Requirements:


  • Bachelor’s degree in business, mathematics, or related field required, Master’s degree strongly preferred

  • Five year’s progressively responsible quality management

  • Three to five years experience in Medicaid risk adjustment and coding experience

  • Minimum two years experience in a medical office, clinic, or healthcare administration setting and two years experience in a customer service-related position

  • Experience leading, training, and managing a team

  • Certified Professional Coder or Certified Risk Adjustment Coder, willing to obtain within the first year of hire




This position is a Salary Position Pay Range: $81,749.98 - $96,663.84 per year. For this position you MUST reside in OR, WA, CA, NV, AZ, CO, TX, WY, GA, AL, FL.


If you are interested in applying for this position and want to know more about the Company, Job Details, Requirements, and more, I have included the application link that will take you directly to Advance Health’s official website below! Also, don't forget to stop by our " Weekly Remote Job Listing'' page to find out what remote open positions are available NOW!





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