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Risk Adjustment Operations Coordinator - (9326)

Universal Health Services


Location:
RENO, NV
Date:
11/21/2017
2017-11-212017-12-20
Job Code:
9326
Universal Health Services
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Job Details

Deltek Talent Management - Risk Adjustment Operations Coordinator - (9326)

Job Details


Risk Adjustment Operations Coordinator - (9326)

Facility Name
Prominence Health Plan
Location
RENO, NV 89502 US (Primary)
Career Area
Professional
Category
Other
Job Description

 

Founded in 1978, Universal Health Services, Inc. (UHS)* is one of the nation’s largest and most respected healthcare management companies, operating through its subsidiaries—acute care hospitals, behavioral health facilities and ambulatory centers nationwide. With more than 74,000 people employed by UHS subsidiaries, UHS’s business strategy is to continue to grow by building or purchasing healthcare facilities across the country, while continuing to strengthen UHS’s well-reputed franchise with its customary exceptional service and effective cost control. Our success is driven by a service philosophy based on integrity, competence, compassion, and a responsive management style. UHS has been recognized as a Fortune 500 company and is listed as one of Fortune’s Most Admired Companies. UHS’s Acute Care Division is comprised of 25 high performing hospitals and several ambulatory care facilities across the nation and prides itself on providing superior patient care. 

Prominence Health Plan, established in Reno in 1993 as St. Mary’s Health Plan, was acquired in 2014 by Universal Health Services (UHS), one of Fortune Most Admired Companies. 

In addition to the HMO, Prominence Health Plan also offers Point of Service health plans, a preferred health insurance company that offers Preferred Provider Organization (PPO) health plans, and CDS Group Health, a third-party administrator.

We are a fast-growing, rapidly-changing healthcare organization offering the excitement of a start-up with the support of a Fortune 500 company. We are looking for talented, enthusiastic people to help shape the future of our organization.

Job Summary: The Risk Adjustment Operations Coordinator will execute strategic quality measurement and process improvement initiatives as laid out by the department and executive leadership team. This individual will possess strong project and data management as well as administrative and analytical skills.

Under the oversight of the Director of Risk Adjustment, this individual will support and monitor the operations and analysis of risk adjustment and process improvement programs to drive improvement in risk adjustment and member experience. The Operations Coordinator will develop and manage policies and procedures associated with the risk adjustment and quality improvement initiatives as well analyze data to determine areas for improvement and share action items with the management team, vendors and providers.

Job Requirements

Regulatory Requirements:

  • Bachelor’s degree in business, health administration or other related field.
  • Minimum of three years of experience in process improvement, project management, quality management or other related field

Language Skills:

  • Ability to effectively communicate in English, both verbally and in writing.

Skills:

  • Organized, able to meet deadlines and versed in project management
  • Able to collaborate across department and with external partners including the provider groups
  • Passion for improvement member experience and outcomes
  • Experienced in analyzing large sets of data.
  • Proficient in Microsoft Suite with proficient skills in Excel.
  • Experienced in healthcare, preferably in a managed care setting
  • Preferred - experience working with medical records, clinical settings, and familiar with Medicare risk adjustment
  • Excellent verbal and written communication skills
  • Ability to establish and maintain positive and effective work relationships.
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