Assistant Director of Medicare Advantage Risk Adjustment

Description Take on a key role within an award-winning health system. Help improve patient experiences and operational efficiency as part of a world-class healthcare team. Take your career in an exciting new direction. You can do all this and more at UCLA Health.As a member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is instrumental in participating in the planning with the director and other functional areas for implementation and execution of strategies, programs, supporting projects, and the monitoring of key performance indicators to enable operational excellence within the risk adjustment department. You will be responsible for coordinating mock RADV audits and compliance audits with the compliance officer and the manager of coding and education. The Assistant Director of Risk Adjustment will oversee the manager of the coding team and our performance improvement specialists. Additional responsibilities will include : Collaborate with Senior Data Analyst to identify opportunities for improvementFacilitate meetings with other departments as needed to implement and execute on departmental strategyContribute to the development of departmental policies and proceduresCreate reports and presentations to leadership as neededTrain and develop performance improvement specialistsDevelop policies and procedures with leadership surrounding mock RADV auditsAssist in developing workflow for risk adjustment activities and programsParticipate in meetings to create, analyze, apply, interpret and / or communicate policies, procedures and regulations effectivelyEnsure the establishment and compliance of departmental goals and for implementing procedures and performance standards to achieve these goalsRecommend process improvements based on tracking and trending reportsSupport company activities such as company goals / strategy and management meetings as neededUCLA Health salary range for this title code is $92,600 - $202,200 / annually. Please note that the department's target pay range is $120,000 - $150,000 / annually.Qualifications We’re seeking a self-motivated, goal-driven, service-oriented leader with : Bachelor's degree in Healthcare Administration, Public Health, Finance, Business Analytics, or a related field or equivalent experienceSix or more years of risk adjustment experienceEight or more years of progressive responsibility in healthcareExperience as a people leaderExperience in managing projects from end to endIn-depth knowledge of HCC models V24 and V28Familiarity with claims and encounter data processesExperience in mock RADV auditsStrong communication, interpersonal, prioritizing, and organizational skillsProven relationship-building with external clientsAbility to drive process improvementComputer proficiency with Microsoft Office, specifically Word and ExcelKnowledge of Tableau and Microsoft BIAbility to effectively articulate strategy to staff and leadershipKnowledge of STARS and quality measures, preferredCPC, CRC, and project management certifications, highly desiredHealth plan and / or consulting background in risk adjustment, highly desiredUnderstanding of Six Sigma or LEAN processes a plusAbility to work in Pacific Standard Time (PST)UCLA Health is a world-renowned health system with four award-winning hospitals and more than 260 community clinics throughout Southern California. We’re also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles’ trusted provider of exceptional, compassionate patient care. If you’re looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.#J-18808-Ljbffr

Salary : $92,600 - $202,200