Principal RAS Partner – Educator

This is a fully remote position, open to applicants in United States.

📋 Description

• Take ownership and oversee comprehensive Risk Adjustment strategies for clients.

• Create and execute risk adjustment operational plans and educational initiatives for both internal and external stakeholders.

• Build and nurture effective strategic relationships internally and externally.

• Analyze and organize data, present findings, and deliver executive summaries.

• Assist in producing standardized coding training and educational materials utilizing industry-standard references along with current regulatory and legislative guidance.

• Provide training and education to providers through various formats including classroom sessions, webinars, audio conferences, and written materials.

• Engage with providers and clinical/administrative teams to further the goals of the Clinical Documentation Improvement program.

• Work collaboratively with internal teams to achieve client- and project-specific objectives.

• Ensure accountability for delivering timely, high-quality customer service.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• Bachelor’s degree in health administration, business administration, or a related field, or equivalent experience.

• A minimum of 8 years of experience in Healthcare, Health plans, or Health Systems is necessary, including experience in payer, hospital, Medicaid/Medicare, provider environments, or managed care, or possess the knowledge, skills, and abilities to excel in this role.

• Familiarity with Risk Adjustment Payment methodologies and a solid understanding of CMS HCC, HHS, and Medicaid.

• Exceptional presentation capabilities, with the ability to deliver educational sessions effectively in large groups or one-on-one, irrespective of the format.

• Proven experience in developing Coding Documentation Improvement (CDI) materials, presentations, and other educational resources.

• Strong critical thinking and data analysis skills with a demonstrated ability to identify, develop, communicate, implement, and influence process improvements and strategic initiatives.

• Proven track record of achieving results, managing workload priorities, and adapting to changing demands/timelines in a fast-paced environment.

• Proficient in Microsoft Office applications including Word, PowerPoint, Excel, and Outlook.

• Excellent interpersonal and communication skills, with the capability to collaborate effectively and interact across all professional levels, both internally and externally.

• Must be authorized to work in the United States.

• Completion of at least the initial series of an approved COVID-19 vaccine is required for those 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.

• Opportunities for Learning and Development.

• Performance-based incentives 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.