Principal RAS Partner – Educator

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $98.4k - $132.2k / year

⏰ Full Time

🔴 Lead

🪙 Affiliate Manager

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Lumeris

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Lumeris is a company focused on providing value-based care solutions within the healthcare industry. With over a decade of leadership in this field, Lumeris partners with health systems to improve patient outcomes and drive financial success through tech-enabled solutions. Their platform supports population health management, clinical delivery transformation, and payer contracting, offering comprehensive solutions for acute, post-acute, and high-risk patient management. Lumeris is recognized for creating significant cost savings and achieving excellent patient outcomes, including a 5-star CMS rating for its Medicare Advantage Prescription Drug Plan.

📋 Description

• Own and manage comprehensive Risk Adjustment strategies for clients • Develop and implement risk adjustment operating plans and education programs for internal and external clients • Develop and foster effective internal and external strategic relationships • Synthesize and organize data, present information, and provide executive summaries • Support production of standardized coding training and educational content using industry-standard references and current regulatory/legislative guidance • Deliver provider training and education through classroom sessions, webinars, audio conferences, and written content • Interact with providers and clinical/administrative staff to advance Clinical Documentation Improvement program goals • Collaborate with internal teams to meet client- and project-specific goals • Maintain accountability for timely, high-quality customer service • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in health administration, business administration or related field or equivalent • 8+ years of experience within Healthcare, Health plan, or Health System required, including payer, hospital, Medicaid/Medicare, provider environment or managed care or the knowledge, skills, and abilities to succeed in the role • Knowledge of Risk Adjustment Payment methodologies and understanding of the CMS HCC, HHS, and Medicaid • Excellent presentation skills, comfortably delivering educational presentations in large settings or 1:1, regardless of the format • Track record of creating Coding Documentation Improvement (CDI) collateral, presentations and other educational tools • Strong aptitude for critical thinking and data skills with the proven ability to identify, develop, communicate, implement, and impact process improvements and strategic initiatives • Proven ability to create results, prioritize workload, and respond to changing demands/timelines in a dynamic environment • Proficiency in Microsoft Office Programs including Word, PowerPoint, Excel, and Outlook • Excellent interpersonal and communication skills with the ability to collaborate and work through all professional levels, internally and externally • Authorized to work in the United States • Must have completed, at minimum, the initial series of an approved COVID-19 vaccine if interacting with at-risk members or prospects

🏖️ Benefits

• Medical, Vision and Dental Plans • Tax-Advantage Savings Accounts (FSA & HSA) • Life Insurance and Disability Insurance • Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days) • Employee Assistance Program • 401k with company match • Employee Resource Groups • Employee Discount Program • Learning and Development Opportunities • Performance-based incentive and/or equity may be available depending on the position • Approved COVID-19 vaccination requirement for personnel who interact with at-risk members or prospects