Field Risk Adjustment Advocate - RAF & Quality Impact

Optum; St. Louis (MO); In loco; USD 73.000 - 130.000; Tempo pieno

Vantaggi offerti da questo lavoro

Comprehensive benefits

Incentive programs

401k contribution

Descrizione del lavoro

UnitedHealth Group seeks a Risk Adjustment Advocate to support accurate documentation and coding for Medicare Advantage, Medicaid, and ACA programs across Saint Louis, MO and surrounding areas. You will travel up to 75% in the territory as a trusted advisor to providers, developing plans to improve RAF performance and coding specifics.

Responsibilities include educating providers on CMS-HCC methodology, identifying gaps, and guiding end-to-end Risk Adjustment and Quality programs.

Competenze

• 2+ years of experience in a physician office, clinic, hospital, or similar medical setting.
• 2+ years of experience with ICD-10, HEDIS, and Stars programs.
• 1+ years of experience with EMR systems.
• Proficiency in MS Office (Excel, Word, PowerPoint) with ability to manipulate data, create documents, and deliver presentations.
• Proven solid communication skills with ability to engage multiple stakeholders and collaborate across teams.
• Ability to be self-driven, goal-oriented, and able to work independently while prioritizing tasks and meeting deadlines.
• Ability to travel up to 75% within designated market.
• Current driver’s license and access to reliable personal transportation.

Mansioni

• Act as a trusted advisor to providers and medical groups for accurate documentation and coding.
• Travel across the assigned territory to engage providers in Optum tools and programs.
• Develop and implement provider-specific plans to improve RAF performance and coding accuracy.
• Utilize data analysis to identify providers who would benefit from training resources.
• Establish long-term consultative relationships with physicians, medical groups, and hospitals.
• Educate providers on Medicare quality programs and CMS-HCC Risk Adjustment methodology.
• Deliver ICD-10 HCC coding training and develop tools for providers.

Conoscenze

Documentation

Coding

MS Office

Communication

Travel

Descrizione del lavoro

UnitedHealth Group seeks a Risk Adjustment Advocate to support accurate documentation and coding for Medicare Advantage, Medicaid, and ACA programs across Saint Louis, MO and surrounding areas. You will travel up to 75% in the territory as a trusted advisor to providers, developing plans to improve RAF performance and coding specifics.

Responsibilities include educating providers on CMS-HCC methodology, identifying gaps, and guiding end-to-end Risk Adjustment and Quality programs.