Identifies risk-based/alternative reimbursement program initiatives. Implements program design plans requiring assessment, research and analysis. Coordinates implementation of risk-based program plans and evaluates outcomes.
Job Responsibility Assists in preparing program assessment, analysis, and strategy recommendations; interfaces with management to collect statistical, utilization, financial, quality and risk performance data for analysis. Evaluates analyses and identifies high risk populations and makes strategic program recommendations; conducts research; identifies industry standards and new innovative practices for analysis. Assists in preparing operational analysis, flow charts, presentations and reports, as required by program specifications; presents analysis and recommendations to management; obtains feedback and collaborates with management to develop program improvement plans.
Implements risk-based programs; partners with the leadership to implement program initiatives; monitors program plan performance and prepares status reports. Collects data for review and analysis. Prepares analysis and reports for management.
Prepares additional recommendations and adjustments to plan, as needed. Operates with direct guidance and work assignments are generally straightforward and of moderate complexity. Performs related duties as required.
All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not
. Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. 0-1 years of relevant experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.
When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Full time