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Assistant Director of Medicare Advantage Risk Adjustment

UCLA Health Careers
Los Angeles, CA Full Time
POSTED ON 1/8/2025
AVAILABLE BEFORE 3/8/2025
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 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 improvement
  • Facilitate meetings with other departments as needed to implement and execute on departmental strategy
  • Contribute to the development of departmental policies and procedures
  • Create reports and presentations to leadership as needed
  • Train and develops performance improvement specialist
  • Develop policies and procedures with leadership surrounding mock RADV audits
  • Assist in developing work flow for risk adjustment activities and programs
  • Participate in meetings to create, analyze, apply, interpret and/or communicate policies, procedures and regulations effectively
  • Ensure the establishment and compliance of departmental goals and for implementing procedures and performance standards to achieve these goals
  • Recommend process improvements based on tracking and trending reports
  • Support company activities such as company goals/strategy and management meetings as needed
UCLA 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. 
 

Salary : $1,000 - $1,000,000

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