Consultant, Risk Revenue Operations

at  HealthPartnersGHI

JOB DESCRIPTION

HealthPartners is hiring a Risk Revenue Operations Consultant. This position, in partnership with the risk adjustment and provider relations teams, is responsible for development, implementation, tracking, and reporting key risk adjustment clinical initiatives; working to ensure that plan performance is based on an accurate representation of our population’s care needs and risks.

MINIMUM QUALIFICATIONS:

• Education, Experience or Equivalent Combination:
• Bachelor’s degree in a related field or equivalent years of experience
• Minimum of five years experience working in a healthcare setting
• Minimum of five years experience managing projects and deliverables
• Working knowledge of the Medicare, Medicaid, and ACA risk adjustment models
• Licensure/ Registration/ Certification:
• One of the following medical coding certifications: CRC, RHIA, RHIT, CPC, CCS, CCS-P
• Knowledge, Skills, and Abilities:
• Skill and experience in effectively collaborating with team members & others using oral, written and interpersonal communications
• Organize and prioritize multiple assignments
• Ability to deal with change and ambiguity
• Able to work, both, as a team member or independently
• PC skills in Microsoft Word, Excel, PowerPoint, Visio, SharePoint

PREFERRED QUALIFICATIONS:

• Education, Experience or Equivalent Combination:
• Nursing or health sciences degree
• PMP certification
• Experience working with Epic and other EMR and risk adjustment solutions

ABOUT US

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.
We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.
At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.
Join us and become a partner for good, helping to improve the health and well-being of our patients, members and the communities we serve.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

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• (10%) – Develops and executes the education strategy and approach for internal leaders and employees. Educates and influences, which may include senior leaders in health plan, finance leaders, physicians, coders, etc.
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• Job description rankings/percentages are intended to reflect normal averages over an extended period of time, and are subject to daily variances. Quality and efficiency standards should at no time be compromised to meet the average expectations expressed above. Job descriptions are subject to change to accommodate organization or department needs.