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Director, Risk Adjustment Support - WellMed - San Antonio, TX

UnitedHealth Group

San Antonio, TX
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Job Details

Director, Risk Adjustment Support - WellMed - San Antonio, TX(Job Number:720973)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)


The Director, Risk Adjustment Support, will be the liaison between technical product development teams and other business departments to ensure that Risk Adjustment application functions necessary to perform daily operational processes for WellMed, and associated partners, occurs in a timely and efficient manner. The Director leads a team that is accountable to the business for the development and maintenance of Risk Adjustment software applications in alignment with the vision of the organization and CMS requirements. The Director ensures that the development and support of the product is derived with the engagement of all key stakeholders. 


Primary Responsibilities:

  • Provides long - range planning and oversight of Risk Adjustment product application development to ensure activities are appropriately integrated into the strategic direction, as well as the mission and values, of the company
  • Develops policies and procedures for system, application and related operational processes in order to ensure optimization and compliance with established standards and regulations internally at WellMed and externally with CMS or other regulating body
  • Provides short range trouble shooting for day - to - day issues and ongoing maintenance with Risk Adjustment applications and reporting
  • Makes recommendations as needed to ensure reliability of the product and finds innovative solutions if problems should occur
  • Leads efforts involving clinical, operations and quality teams with application, reporting and business analysis projects
  • Manages product lifecycle for Risk Adjustment products from strategic product planning to tactical activities and provides constructive information to minimize problems and increase customer satisfaction
  • Works with product development teams to define and schedule the priorities of each release using a documented plan to ensure Risk Adjustment products are able to meet business demands
  • Measures the success and impact of product releases
  • Evaluates the team performance overall, to provide performance management and establish the delivery of top tier services and products to the client
  • Provides employee coaching, counseling and evaluation of performance through periodic and annual reviews
  • Performs all other related duties as assigned

Job IT Systems Analysis
Primary Location US-TX-San Antonio
Other Location 
Organization WellMed Medical Mgmt, Inc
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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