Part Time Hcc Risk Adjustment Coding Jobs (NOW HIRING)

Job Summary:
Accountable for providing leadership and coordination for risk adjustment vendor related programs. Responsible for the end to end management of the Vendor Management program, including relationship management, contracting, contract adherence and performance, invoice reconciliation, and process improvements.

Essential Functions:

• The essential functions listed represent the major duties of this role, additional duties may be assigned. 
• Responsible for the end-to-end management of the Vendor program.
• Responsible for vendor relationship management, including contract adherence, contract performance, vendor scorecards, payment reconciliation, and continuous improvement.
• Works collaboratively with Procurement, Legal, IT Security, Finance and other areas.
• Provides input and support for the vendor program budget and tracks and reports vendor costs.
• Responsible for vendor program performance and adherence to established SLA's, ROI, etc.
• Coordinates with all impacted business areas to develop and maintain appropriate reporting and scorecards. Identifies metrics that will reflect true vendor and program performance.
• Invokes corrective action plans, as necessary.
• Responsible for working with vendor regarding escalation of issues identified by business or IT.
• Responsible for continuous improvement of the program.
• Responsible for reporting, M&E, and benefit realization of the program and vendor performance cost savings and efficiencies.
• Manage and lead implementation of multiple components of evolving risk adjustment strategies and opportunities through research and analysis.
• Translate corporate strategies into tactical application for vendor execution.
• Manage multiple complex issues and projects simultaneously.
• Coordinate Program reporting with appropriate areas within the organization. 

Required Experience:
5+ years related work experience with contracts and compliance
Related Bachelor's degree or additional related equivalent work experience 
Experience in a matrix environment. 
Demonstrated communication and coordination skills managing multiple issues 
Proven ability to manage multiple complex business issues

Preferred Qualifications:
Vendor Management or Procurement experience. Experience with risk adjustment Graduate degree or relevant business/managed care experience Project management training/experience
 

General Physical Demands:
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. 
What We Offer: 
As a Florida Blue employee, you will be at the heart of GuideWell's vision - to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living. 
To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: 
 

• Medical, dental, vision, life and global travel health insurance;
• Income protection benefits: life insurance, short- and long-term disability programs;
• Leave programs to support personal circumstances;
• Retirement Savings Plan including employer match;
• Paid time off, volunteer time off, 10 holidays and 2 well-being days;
• Additional voluntary benefits available; and
• A comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.
To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. 
Annualized Salary Range: $77,600 - $126,100
Typical Annualized Hiring Range: $77,600 - $97,000
Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.
We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.