Remote Hcc Risk Adjustment Coder Jobs in Nebraska

Posting Date

06/01/20262000 16th St,Denver,Colorado,80202-5117,United States of America

Department: Payor Partnerships - Contract Operations

Reports To: Supervisor, Payor Partnerships

Location: Federal Way, WA

Position Summary

The Contract Specialist S4 is a high-impact role within the Payor Partnerships Contract Operations team, responsible for operationalizing and maintaining DaVita's Fee For Service Agreements. This position manages a high volume of complex contract reviews, requiring the ability to interpret contract language, resolve network issues, understand and provide Rate implementation guidance, navigate and populate the Contractual Lifecycle Management data base and maintain rigorous data accuracy without direct oversight. As an S4-level specialist, this teammate is expected to operate with significant autonomy, utilizing critical thinking and analytical skills to solve complex problems, manage priority payor relationships, and drive resolution on outstanding issues.

Essential Duties & Responsibilities:

Contracting & Lifecycle Management:

• Accurate and timely contract reviews with regards to Best Demonstrated Performance language, check lists, codes, rates, and credentialing operational language.

Issue Resolution & Critical Thinking:

• Independently research and resolve complex network and claims issues by collaborating with Credentialing Specialists and Negotiation teams.
• Analyze root causes of delays or denials using tools such as the A3 worksheet format.
• Assess complex situations and communicate effectively to leadership using the SBAR (Situation, Background, Assessment, Recommendation) format.

Data Integrity & Reporting:

• Maintain accurate data across multiple systems (Orion, CLM, COR, Salesforce, and IBM-based data systems).
• Strong workflow communication. Provide data for weekly reports, including task categories, email volume, out of SLA task assistance and escalation tracking.
• Maintain an average Quality Assurance (QA) score at or above 95% for critical errors.

Relationship Management:

• Build and maintain strong professional relationships with external payor contacts to facilitate efficient processing.
• Collaborate with internal " Partners" to proactively resolve account issues.
• Working as a collaborative team of Director, Negotiator, Credentialing Specialists, Analyst, and Team Lighthouse to provide specifically tailored Account Customer Service

Workload Management:

• Manage an extremely high volume of work, including maintaining email inbox counts below 40 and responding to requests within 1-2 business days.
• Prioritize tasks based on risk and value (e.g., Fee For Service Agreements, Document Reviews, Facility Status Requests, New Center Additions, Acquisitions).
• Resolving 90+% of all tasks within due date or assigned SLA.
• Manage an extremely high volume of work, including maintaining email inbox counts below 40 and responding to requests within 1-2 business days.

Education & Experience:

• High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
• Minimum 2 years of experience in high-volume research, Customer Accounts ownership or complex administrative resolution work.
• Proven track record of top performance in a production-based environment.

Technical Skills:

• Advanced Excel Skills Required: Must have experience at the formula writing level (e.g., complex IF statements, VLOOKUP, mail merge integration, conditional formatting).
• Systems Proficiency: Strong proficiency in Microsoft Outlook (managing high email volume), Word, PowerPoint, and SharePoint. Experience with Salesforce or database management systems preferred.

Competencies & Attributes:

• Critical & Analytical Thinking: Ability to analyze complex contract and credentialing scenarios and develop solutions without immediate oversight.
• Autonomy: Capable of working independently to solve problems; knows when to escalate issues versus resolving them personally.
• Resilience & adaptability: Can handle high-pressure situations, urgent deadlines, and rapid changes in payor requirements or platform technologies.
• Communication: Strong verbal and written communication skills; able to distill complex issues into clear, actionable updates for stakeholders.
• Efficiency and Prioritization: Can take on a volume of 4500 credentialing Packets annually, in addition to the research and issue resolution cases mentioned above.

What We'll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

• Comprehensive benefits:Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Support for you and your family:Family resources, EAP counseling sessions, accessHeadspace, backup child and elder care, maternity/paternity leave and more
• Professional development programs:DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.

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At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days.

The Wage Range for the role is $19.50-$25.50 per hour.If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position.New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of New York state: $62,353.20/year New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hourWashington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.