Supervisor, Risk Adjustment (Remote in Texas)

Company: Superior HealthPlan
Location: Ladonia
Posted on: March 15, 2023

Job Description:

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Responsible for ensuring the business processes related to risk adjustment are developed and carried out based on plan risk adjustment opportunity.

Supervise internal member outreach efforts

Work with provider offices on risk adjustment education opportunities

Work with and monitor corporate outreach vendors on retro chart chase, Risk Adjustment Data Validation (RADV) in home assessments

Develop outreach materials and plan outreach efforts

Work with Corporate Data team to ensure suspecting lists are accurate and complete

Education/Experience: 3+ years of experience in risk adjustment and a bachelor's degree in applicable field or applicable experience in lieu of education
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene 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.

Keywords: Superior HealthPlan, Allen , Supervisor, Risk Adjustment (Remote in Texas), Other , Ladonia, Texas