Remote Network Program Consultant - Risk Adjustment

UnitedHealth Group

Nashville (TN)

Hybrid

Confidential

Full time

14 days+

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Job summary

UnitedHealth Group in Nashville, TN, is seeking a Healthcare Risk Adjustment Specialist to collaborate with providers across a defined territory. You will analyze data, target opportunities to improve documentation and coding, and develop plans that boost RAF performance while ensuring CMS requirements are met.

The role requires 2+ years in healthcare, strong MS Office skills, and willingness to travel up to 75%. A driving license and reliable transportation are required for daily field visits.

Qualifications

2+ years in healthcare with medical terminology knowledge.
Proficient in MS Office; able to create and present data.
Willingness to travel up to 75% in the assigned territory.

Responsibilities

Travel 75% of time to meet with providers to discuss tools and programs.
Identify providers who benefit from coding and training resources.
Establish consultative relationships with physicians, medical groups, IPAs and hospitals.
Develop provider-specific plans to improve RAF performance and coding specificity.
Manage end-to-end Risk and Quality Client Programs.
Provide feedback on EMR/EHR systems for CMS standards.

Skills

Healthcare background

MS Office Suite

Travel readiness

Driver's license

Communication with stakeholders

Job description

The role requires 2+ years in healthcare, strong MS Office skills, and willingness to travel up to 75%. A driving license and reliable transportation are required for daily field visits.

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