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Senior Program Manager, Risk Adjustment
IntraCare Health Center (DFW Healthcare MSO) operates owned and affiliated Primary Care Clinics in the greater Dallas-Ft. Worth and Phoenix metropolitan areas. Led by an exceptional leadership team, the company has delivered over a decade of strong performance and service excellence in value-based care and clinic operations.
IntraCare is an exceptional place to work! The company has grown 300% in 2023 and poised to do the same in 2024, beyond that, the company is entering Medicare Advantage Risk with our owned providers and use our depth in Risk Management to drive performance. We are culturally driven to be inclusive and respectful of all opinions. We encourage diversity in thought and approach; and we welcome healthy debate. We hire partners who add to our IntraCare family, versus workers. We empower our employees and help them to achieve their personal best. This uncompromising dedication to team culture and individual development is key to our success.
Summary
Reporting to the Associate Vice President of Value-Based Care, the Senior Program Manager will identify improvement opportunities and provider performance trends, direct the implementation of new technologies, manage vendors, and deliver routine executive and board-facing reporting on the performance of Medicare risk adjustment programs. Ideally this candidate will have a proven track record of improving Medicare Advantage and Medicare Shared Savings Program contracts’ value through HCC coding accuracy and complete capture by developing, implementing, monitoring, and improving clinical and operational programs in an environment of both affiliate and employed primary care providers. Expertise with value-based care risk program concepts is a must. The candidate must have high comfort viewing, manipulating, and combining reports to ensure data-driven decision making and to ensure optimal application of all related technology investments; this includes a depth of independent, hands-on analysis meaningful to operating the program. The Senior Program Manager must routinely evaluate operational activities and their projected and proven contribution to medical loss ratios on risk programs as the owner for results of the risk adjustment programs.
This confident self-starter will be expected to demonstrate leadership and professionalism, especially while engaging with physicians, clinic leaders and corporate executives. Collaborative interpersonal skills and strong critical thinking capabilities will help the Senior Program Manager interact across various functions and align key internal and external players with the objectives for program success. This pathway may include but will not be limited to: provider and staff education planning; collaboration with finance and marketing to develop or modify incentive programs and associated materials; vendor procurement, deployment, and management; and direct management of coders and coding educators, depending on the direction of the program.
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Full Time
$110k-146k (estimate)
04/24/2024
06/23/2024