Temporary Risk Adjustment Campaign Associate

This is a fully remote position, open to applicants in Idaho, +3 more states.

📋 Description

• Collaborate with the Risk Adjustment operations team on ongoing initiatives related to Medicare Advantage and Commercial risk adjustment campaigns.

• Execute daily operations and oversee performance management of risk adjustment campaigns under the guidance of the Manager of Campaign Execution.

• Perform internal EMR medical record retrieval for all Risk Adjustment campaigns.

• Monitor vendor performance daily to ensure alignment with project schedules.

• Assist in the preparation of project reports and the presentation of information to management, project teams, and client/customer groups.

• Ensure project documentation complies with established standards.

• Create and sustain an overall project documentation library, ensuring all documents are established, maintained, and archived in project databases.

• Implement continuous quality improvement techniques and methodologies.

• Plan and oversee small, well-defined projects or sub-projects under the general direction of senior project managers.

• Retrieve medical records for MA and ACA campaigns through internal EMR access based on production objectives.

⛳️ Requirements

• Bachelor’s Degree in business, project management, healthcare, or a related field, along with at least 2 years of experience in a project support role, preferably within the healthcare sector, or an equivalent combination of education and experience.

• Capability to manage small, less complex projects with minimal supervision.

• Proficiency in using the Microsoft Office suite of tools.

• Proven analytical and problem-solving abilities.

• Experience with project management methodologies and techniques.

• Ability to interpret service provider contracts and statements of work (SOW).

• Competence in tracking and monitoring service provider performance and delivery quality against service level agreements (SLAs).

• Effective communication skills, both verbal and written, applicable to all levels of leadership.

• Knowledge of Facets, PIMS, and claims processes is preferred.

• Background check is required.

• Access to a personal mobile device for Multi-Factor Authentication (MFA).

• A wired internet connection that is not satellite or cellular, with a minimum upload speed of 5Mb and a minimum download speed of 10Mb, is required for the work-from-home option.

🏝️ Benefits

• Work-from-home options available for most roles.

• Competitive salary.

• Comprehensive benefits (not applicable to this temporary non-benefited assignment).

• Opportunities for career growth and development.

• Community outreach programs supported by Cambia.

• Employee resource groups.

• Wired internet connection requirements for the work-from-home option.

• Personal mobile device access for Multi-Factor Authentication.