Manager Hcc Risk Adjustment Jobs in Tennessee (NOW HIRING)

Schedule: Days: M-F

Job Location Type: Remote

Your experience matters 

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier .

More about our team 

The Population Health Advisor providers leadership and support for the ongoing success and growth within its ACO/CIN and population health initiatives for their market. The Population Health Advisor is responsible for the tracking and analysis of clinical quality measures and governmental requirements related to programs such as MIPS, MSSP, ACO Promoting Interoperability. In addition, the Advisor will educate and assist ACO/CIN providers on proper documentation and coding techniques for the purposes of achieving accurate risk profiles (HCCs or other) for patients within ACO/CIN practices. Lasty, the Advisor will provide oversite to ACO/CIN strategic initiatives including primary care workflow improvements, post-acute care, and palliative care with an emphasis on care delivery, customer service and financial sustainability for these programs. 

How you'll contribute 

A Population Health Advisor who excels in this role will:

• Have comprehensive MIPS, ACO/MSSP and HEDIS based quality delivery reporting to support ACO/CIN contracts.

• Track and develop performance improvement initiatives for clinical quality measures and/or primary care workflow optimization. 

• Provide supervision for the development and on-going management of improving ACO/CIN providers documentation and coding accuracy for the purposes of risk adjustment (HCC or other risk adjustment methodology). 

• Serve as a network liaison between ACO/CIN leadership and its practices; be able to effectively communicate strategic priories in a timely manner. 

• Manage the dissemination and education of ACO/CIN payor-specific cost, quality and/or utilization reports within the network. 

• Train ACO/CIN providers and their staff on workflows that incorporates data/technology into daily activities. 

• Oversee strategic ACO/CIN projects as it relates to quality improvement, risk adjustment, network development, post-acute care optimization and/or other initiatives as determined by the ACO/CIN Executive Director of the ACO/CIN Board of Trustees. 

• Facilitate technology projects within the ACO/CIN, such as EMR integration for the purposes of quality reporting.

• Have regular and reliable attendance and perform other duties as assigned.

Why join us 

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: 

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

• Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for

• Education: Associate's degree in Nursing or related field. 

• Experience: Two years of experience in the ambulatory healthcare setting including participation within quality improvement and/or population health. 

• Travel: Minimum overnight travel (up to 30%) by land and/or air.

EEOC Statement

"Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

You must be authorized to work in the United States without employer sponsorship.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.