Hybrid Risk Adjustment Strategy Partner

Intermountain Healthcare Inc.; Montgomery (AL); Hybrid; USD 62,000 - 96,000; Full time

Benefits offered by this job

Benefits package

Job summary

Intermountain Health, operating Select Health in Murray, Utah, seeks a Risk Adjustment Strategic Partner to align provider groups with risk adjustment, HEDIS and STAR initiatives, and value-based care programs. You will lead data-informed improvements and coordinate cross-functional workstreams with clinic leaders and health plans.

This hybrid role is mostly remote with quarterly travel to local clinics. The position reports to health plan leadership and offers a comprehensive benefits package

Qualifications

• Proficient at risk adjustment strategy for Medicare and ACA lines of business.
• “Demonstrated understanding of HEDIS and STAR measures.”
• “Knowledge of healthcare regulations and compliance requirements.”
• “Familiarity with value-based care, provider incentive programs, P4P and quality programs.”
• “Demonstrated ability to manage projects and teams, with a focus on achieving goals and objectives.”
• “Excellent communication and interpersonal skills, with ability to build and maintain relationships.”
• “Demonstrated ability to present to large groups and internal leadership.”
• “Strong analytical skills and experience with data analysis and reporting.”

Responsibilities

• Accountable for working with provider groups to achieve annual goals and engage for performance improvement.
• Develops strategies to address gaps in care and provides solutions for actionable opportunities; monitors programs and makes improvements.
• Designs and implements reporting across risk adjustment and external partners.
• Supports HQRI strategic engagements and PPO strategies.
• Fosters relationships with providers and clinical leadership.
• Manages high-priority initiatives with proactive leadership.
• Coaches provider partners in value-based contracts and data-driven decision making.

Skills

Risk Adjustment

Relationship Building

Performance Improvements

Management Reporting

Quality Measurements

Data Interpretations

Analytical Thinking

Written Communication

HEDIS

Accountability

Data Reporting

Presentations

Education

Bachelor’s degree in healthcare administration, business administration, or equivalent work experience.

Tools

Excel

PowerPoint

Job description

Intermountain Health, operating Select Health in Murray, Utah, seeks a Risk Adjustment Strategic Partner to align provider groups with risk adjustment, HEDIS and STAR initiatives, and value-based care programs. You will lead data-informed improvements and coordinate cross-functional workstreams with clinic leaders and health plans.

This hybrid role is mostly remote with quarterly travel to local clinics. The position reports to health plan leadership and offers a comprehensive benefits package