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　　Day - 08 Hour (United States of America)

　　This is a Stanford Health Care job.

　　A Brief Overview

　　The Risk Adjustment Manager will lead the risk adjustment program for accountable care populations and contracts. This role will develop the risk adjustment program strategic roadmap, execute on milestones, monitor performance and outcome metrics, and lead performance improvement efforts to achieve program goals. The Risk Adjustment Manager will be responsible for managing and developing direct reports, collaborating with key stakeholders, and vendor management.

　　Locations

　　Stanford Health Care

　　What you will do

　　Develop and lead the execution of the strategic workplan to effectively achieve program goals in partnership with physician and operational accountable care leadership.

　　Drive sustained, measurable improvements in the risk adjustment program across the accountable care population and the broader Stanford Health Care clinical enterprise.

　　Communicate team performance and outcomes measures to key stakeholders.

　　Analyze opportunities for programmatic improvement by evaluating effectiveness activities within the program processes.

　　Serve as content expert on CMS regulations and HCC risk adjustment reimbursement methodology; Interprets, recommends, and communicates operational changes to meet requirements.

　　Manage relationships with vendors and health plans related to the accountable care population’s risk adjustment and quality programs.

　　Oversee and advise the implementation of risk adjustment analytics platforms and dashboards.

　　Develop and foster relationships with key stakeholders within the risk adjustment process (i.e. Revenue Cycle, Operations, Finance, etc.).

　　Serve as a primary resource for data reporting, data analysis, and data interpretation.

　　Train, coach, and mentor team on performance improvement skills and knowledge; consistently transfer skills.

　　Identify, create, and drive educational program needs with providers and operations to support the risk adjustment program.

　　Education Qualifications

　　Bachelor’s degree in a work-related field/discipline from an accredited college or universityMaster’s degree preferredExperience Qualifications

　　Five plus (5+) years of progressively responsible and directly related work experienceRequired Knowledge, Skills and Abilities

　　Ability to communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, conflict resolution, consulting and advising as well as to prepare clear, comprehensive written and oral reports and materials.

　　Knowledge of methods of data collection, manipulation, interpretation, and presentation of information

　　Top-notch data analysis, presentation skills, problem solving, attention to detail and accuracy, operations, project management, interviewing, consulting, and team-facilitation expertise is assumed.

　　Strong quantitative skills (advanced Excel, Access,) as well as comfort with advanced features of Word and PowerPoint

　　Incumbents will possess high personal energy, the ability to energize team members, strong, positive interpersonal and leadership skills, and ability to work comfortably with staff who have various levels of education and expertise (physicians through high-school graduate) and understand their work patterns.

　　Demonstrated success in independently planning and managing multiple projects and reevaluating priorities in a self-directed manner and meeting challenging deadlines.

　　Ability to work effectively both as a team player and leader.

　　Ability to mediate and resolve complex issues independently.

　　Ability to maintain confidentiality of sensitive information.

　　Strong knowledge of medical billing/coding.

　　Knowledge of Medicare Risk Adjustment methodology and best practices approaches to successfully managing a program is preferred

　　These principles apply to ALL employees:

　　SHC Commitment to Providing an Exceptional Patient & Family Experience

　　Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

　　You will do this by executing against our three experience pillars, from the patient and family’s perspective:

　　Know Me: Anticipate my needs and status to deliver effective care

　　Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health

　　Coordinate for Me: Own the complexity of my care through coordination

　　Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

　　Base Pay Scale: Generally starting at $66.46 - $88.05 per hour

　　The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

　　At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow.

　　As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care.

　　Learn about our awards (https://stanfordhealthcare.org/about-us/awards.html) and significant events (https://stanfordhealthcare.org/about-us/our-history.html) .