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Role Description

Join VillageCare in New York City as a Full-Time Director of Risk Adjustment and take your career to the next level while making a meaningful impact in the health care industry. This role offers the flexibility to work from home, allowing you to balance personal and professional commitments seamlessly.

• Lead innovative strategies aimed at enhancing patient care
• Significantly influence risk management practices
• Coordinate internal and external resources to drive initiatives forward
• Serve as the subject matter expert for business processes and systems
• Create an annual Provider Risk Adjustment strategy aimed at improving diagnosis coding accuracy
• Assess strategic performance metrics to support business initiatives
• Oversee vendor operations related to risk adjustments
• Manage a team of risk adjustment coders, ensuring compliance with RADV and other regulatory protocols

Qualifications

• Minimum of 8 years in relevant professional roles
• Strong preference for candidates with Medicare Advantage experience
• Experience in risk adjustment specific to Medicare Advantage products
• Leadership capabilities including staff and process management experience
• Ability to multi-task while maintaining a high level of attention to detail
• Strong communication skills (verbal, written, presentation, interpersonal)
• Strong analytical and logical skills
• Bachelor's degree in Healthcare, Finance, or a related field, or equivalent years of experience

Requirements

• Experience in healthcare plan - Medicare Advantage experience preferred
• Risk adjustment knowledge and expertise in Medicare Advantage products
• Capacity to multi-task at a high detail-oriented level

Benefits

• PTO package
• 10 Paid Holidays
• Personal and Sick time
• Medical/Dental/Vision
• HRA/FSA
• Education Reimbursement
• Retirement Savings 403(b)
• Life & Disability
• Commuter Benefits
• Paid Family Leave
• Additional Employee Discounts

Company Description

VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.