Remote Medicare Risk Adjustment Analyst – Revenue Cycle

AnewHealth; Williamstown (NJ); Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k)

PTO

Life Insurance

Short-term disability

Voluntary benefits

Job summary

AnewHealth is seeking a Client Service Liaison to optimize Medicare revenue cycle processes for PACE programs. The role partners with client financial teams to interpret payment data, identify variances, and ensure timely premium payments.

You will support training and education for clients while collaborating with Capstone teams. Responsibilities include on-site/virtual assessments, onboarding new clients, maintaining schedules, and driving client satisfaction.

Qualifications

• Associate degree required; bachelor’s degree preferred.
• Minimum three years of experience in Hierarchical Condition Categories (HCC) or risk adjustment.
• Experience with Risk Adjustment Analytics strongly preferred.
• Knowledge of CMS Medicare revenue cycle in risk adjustment payment model.

Responsibilities

• Completes assessment for assigned panel of PACE programs using CMS returns files and input from Capstone analytics teams.
• Assesses action plans quarterly, including on-site visits and virtual calls.
• Develops and strengthens Capstone client relationships within the assignment panel.
• Coordinates with the project coordinator for new client onboarding.
• Monitors client needs and recommends additional services or improvements.

Skills

MS Word

Excel

PowerPoint

Written communication

Verbal communication

Prioritization

Presentation skills

Multi-tasking

HIPAA/compliance

Independent work

Fast-paced environment

Education

Associate Degree

B.S./B.A./B.S.N preferred

Job description

AnewHealth is seeking a Client Service Liaison to optimize Medicare revenue cycle processes for PACE programs. The role partners with client financial teams to interpret payment data, identify variances, and ensure timely premium payments.

You will support training and education for clients while collaborating with Capstone teams. Responsibilities include on-site/virtual assessments, onboarding new clients, maintaining schedules, and driving client satisfaction.