Devoted Health
Healthcare Insurance • Wellness
Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.
Risk Adjustment Encounter Submissions Manager
Job not on LinkedIn
3 days ago
Devoted Health
Healthcare Insurance • Wellness
Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.
📋 Description
• Review and monitor encounter data submissions for accuracy and completeness, identifying discrepancies and potential areas for improvement. • Collaborate with cross-functional teams to implement and monitor corrective actions • Develop and maintain documentation of submission processes, including troubleshooting and resolution strategies for data submission errors. • Educate and train stakeholders on policies, procedures, and best practices related to encounter data submissions. • Stay up-to-date on regulatory changes and industry best practices affecting risk adjustment and encounter data submissions.
🎯 Requirements
• Bachelor’s degree in healthcare, data analytics, or a related field; advanced degree preferred. • Excellent communication and interpersonal skills, with a collaborative approach to problem-solving. • Strong attention to detail and organizational skills to manage multiple priorities effectively. • Ability to take initiative and drive projects forward in a fast-paced environment. • Strong analytical skills with a proven ability to interpret complex data sets and identify key insights. • Ability to establish and improve operational processes • Strong command of SQL; experience with Snowflake database • Minimum of five years of substantive health care experience, operational experience or other consulting experience.
🏖️ Benefits
• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles • Parental leave program • 401K program
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