Risk Adjustment Strategic Partner
Core
Liaison between provider community and Select Health to lead risk adjustment, HEDIS/STAR gap closure, and healthcare utilization workstreams.
Role type
Senior strategic partner (healthcare operations)
Builds
Tailored programs for value-based relationships and implementation plans for provider organizations
Domain
Healthcare administration and population health management
Deliverable
product features
Required skills
Risk adjustment strategy, HEDIS/STAR measures, data analysis, project management, regulatory compliance, financial impact analysis
Preferred skills
Healthcare administration degree, 5+ years in health plan/provider administration
Technologies
Excel, PowerPoint, EMR systems
Responsibilities
Coordinate workstreams for risk adjustment and gap closure, develop strategies to address care gaps, design reporting across the organization, manage vendor relationships, ensure clinic interoperability, report monthly KPIs
Seniority
Senior, hands-on IC with strategic advisory duties
