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Junior Project Manager || Remote || $20/hr max at Junior, West Virginia, USA
Email: [email protected]
Hi,

Hope you are doing great!

Please check the below requirement and send me your
updated Resume

Junior Project Manager

Remote (PST hours)

$20/hr max

Any Visa

Skype

JD

***MUST HAVE healthcare industry background and expertise in MS Excel (Data Analysis)

    Helps support vendor relationship and discussion as applied to contractual agreements.

    Shares Care Partner (provider) related metrics with leadership teams on a cyclical basis

    Analyzes data to determine root cause analysis, etc.

    Finds, communicates, and escalates root causes and ad hoc nuances

    Shares risk adjustment vendor related metrics with leadership teams on a cyclical basis

    Track and help implement risk adjustment related initiatives and strategies

    Seeks, maintains, and builds a best a class vendor knowledgebase

    Relentlessly champions the importance of successful vendor economics through the lens of payer value

    Authors and updates policies, procedures, and program guides

    Leads annual readiness by ensuring proper setup of new products in vendor systems

    Follows, reports, and adheres to all regulatory guidance

    Other duties and responsibilities as assigned.

    Performs other duties and responsibilities as assigned.

    Authors executive level presentations and hosts monthly meetings

    Assist with data transfer and ROI calculations

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE (Required)

    Bachelor's degree in business or related field or relevant experience in lieu of degree.

    Proficient in Microsoft Office Products; Word, PowerPoint

    Expertise in MS Excel - Pivot Tables, VLOOKUP, etc. a MUST HAVE

    Project/Program Management experience in a healthcare setting

    Strong written and verbal communication skills

    Strong attention to detail

    Ability to quickly learn and adapt to meet business needs

    Experience working with Risk Adjustment vendors

    Effective problem solver

    Demonstrated knowledge of risk adjustment regulations

    Ability to work independently

    Ability to build relationships with office staff, physicians, and market team

Preferred Skills

    Knowledge of Medicare Advantage and/or commercial risk adjustment models, functions, and/or strategies

    Two (2) or more years' experience in Medicare Advantage or Commercial risk adjustment with a health plan and/or vendor

    Medical Record retrieval operational experience is a big plus

    Experience with risk adjustment initiatives such as prospective and/or retrospective programs

    Experience with risk adjustment vendor management/contracting/invoice reconciliation

    Two (2) or more years' experience reporting/tracking progress of department initiatives

    Intermediate proficiency in SQL, SAS, and/or other data aggregation platforms

    Knowledge of risk adjustment encounter data lifecycle

Piyush Varshney

Sr Technical Recruiter |Vyze Inc.

Phone
: +1 703 982 7189

E
-Mail
[email protected]

Hangout
: Piyush.vyze36

Instagram 
LinkedIn  

linkedin.com/in/piyush-v-

-0852a4218

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Fri Sep 22 19:18:00 UTC 2023

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