What are the responsibilities and job description for the Executive Director-Risk Adjustment (Exempt) position at Mercy?
We’re a Little Different
Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.
At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”
REMOTE OPPORTUNITY
Overview: The Executive Director, Risk Adjustment is a key strategic leader responsible for driving accurate coding, documentation, and risk adjustment activities for Mercy's Medicare Advantage and other lines of business. This role drives performance across multiple regions to achieve operational, clinical, and financial targets through data and analytics. The leader articulates risk adjustment performance and directs a team in risk adjustment initiatives to ensure improved quality care. The leader is accountable for performance and direction through multiple layers of management and senior-level professional staff. This position requires an analytical executive skilled at translating quantitative insights into operational change.
Qualifications:
- Experience:
0 years in complex data analysis, financial/performance metrics, and data management.
• 10 years in a healthcare setting with advanced knowledge in value-based care and managed care/risk adjustment data analytics.
• 7 years leading risk adjustment reporting and dashboard creation that serve as enterprise standard and best in class resource.
• 7 years in client business requirement gathering and documentation.
• 3 years of management experience with proven leadership abilities.
- Required Education: Bachelor's degree from a four-year accredited school in information technology, healthcare, or related field.
- Preferred Education: Post-graduate degree (MBA, MHA, JD, etc.)
Healthcare industry experience, particularly in Medicare Advantage and population health activities.
Experience working with health plans and/or large physician groups or health systems.
- Certifications: Epic or Mercy population health platform certification within 6 months of hire date.
- Other:
Ability to document business and technical requirements, data flow diagrams, SOPs, UAT and peer review test plans.
• Strong organization and delivery management skills to synchronize the efforts of multiple teams on a consolidated timeline.
• Strong critical thinking and troubleshooting skills.
• Excellent written and verbal communication skills.
• Ability to build cross-departmental relationships.
• Ability to work cooperatively with peers and subordinates.
• Ability to act professionally under pressure.
• Deep knowledge of Medicare, Commercial, and Medicaid value-based programs.
• Expert proficiency with SQL, Excel and Visio.
• Proficient in Microsoft Office applications.
We Offer Great Benefits:
Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!
We’re bringing to life a healing ministry through compassionate care.
At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all.
What Makes You a Good Match for Mercy?
Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.
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