Population Health Program Manager – Affiliates

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November 3

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NeueHealth

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Healthcare Insurance • Finance • Wellness

NeueHealth is a healthcare company focused on providing accessible, affordable, and high-quality care to all health consumers. Formerly known as Bright Health, it operates through two primary segments: NeueCare, which delivers comprehensive healthcare services via owned and affiliated clinics, and NeueSolutions, which supports independent providers in performance-based care arrangements. With a strong emphasis on understanding patient needs, NeueHealth aims to align the interests of health consumers, providers, and payors to enhance healthcare experiences and outcomes.

1001 - 5000 employees

⚕️ Healthcare Insurance

💸 Finance

🧘 Wellness

📋 Description

• Evaluate risk adjustment and quality performance for Affiliate partners and identify opportunities and risk areas • Cultivate effective partnerships in a matrix environment of coding educators, quality, clinical, and market operations • Implement risk adjustment and quality program leading practices at partner practice locations • Facilitate strategic documentation, coding and quality presentations to large and small groups of clinicians, practice managers, and certified coders via virtual and in-person delivery methods (including domestic travel when necessary) • Develop and deliver education training materials such as webinars, videos, education guides and guidelines • Build and maintain a best-in-class coding accuracy and HEDIS / CMS quality metric knowledgebase • Follows, reports, and adheres to all regulatory guidance, including changes related to risk adjustment methodologies and quality programs • Ad hoc provision of pre-visit planning support and/or engagement of other resources to deliver pre-visit planning support to Affiliates • Other duties and responsibilities as assigned.

🎯 Requirements

• Bachelor’s degree preferably in healthcare or technical related field or equivalent work experience required • Three (3) or more years’ experience in various risk adjustment models (CMS HCC, HHS HCC, CDPS) • Current AAPC or AHIMA coding certification required • Experience analyzing risk adjustment performance and creating condition evaluation assessment key performance measures and developing risk adjustment program initiatives • Expertise in multiple risk adjustment models and timing lifecycle required • Experience in Quality program workflow management, leveraging technology and data • Strong analytical skills in reviewing data used to determine performance and opportunities to improve • Proven focus and ability to communicate coding and clinical quality concepts in multiple settings • Experience in provider education and training required • Advanced skills in Microsoft Office Products; Word, Excel, PowerPoint, Visio, SharePoint preferred

🏖️ Benefits

• As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.