Risk Adjustment Consultant

Point32health Inc

Canton, MA, United States
Base: $85,665.60 - $128,498.40; bonus/equity: vari...
On-site
Provider network engagement
Risk adjustment program analysis
Data interpretation and reporting
Point32Health is seeking a Risk Adjustment Consultant to enhance operations and analysis of risk adjustment programs, acting as a liaison between provider networks and internal departments. The ideal candidate will possess strong stakeholder management experience within healthcare and analytical skills to support performance improvement initiatives

Job Summary

  • Support the operations and analysis of all risk adjustment programs and serve as the primary point of contact to a select portion of our provider network.
  • Analyze, interpret and synthesize medical group specific results and risk score trend information to improve awareness and understanding of risk scores.
  • Develop effective and positive working relationships with internal partners to collaborate on provider engagement and performance improvement initiatives.

Matching Summary

Match Score: 85

Point32Health is seeking a Risk Adjustment Consultant to enhance operations and analysis of risk adjustment programs, acting as a liaison between provider networks and internal departments. The ideal candidate will possess strong stakeholder management experience within healthcare and analytical skills to support performance improvement initiatives.

Salary

Base: $85,665.60 - $128,498.40; Bonus/Equity: Variable pay eligible; Benefits: Medical, dental, vision, retirement, PTO

Skills & Requirements

Must-have

  • Provider network engagement
  • Risk adjustment program analysis
  • Data interpretation and reporting
  • Collaboration with internal stakeholders
  • Microsoft Excel proficiency

Nice-to-have

  • Strategic advisor to provider network
  • Understanding of US Health Policy
  • Experience with CMS
  • Process improvement in healthcare

Key Requirements

  • Bachelor's degree required
  • 3-5 years of stakeholder management experience
  • Experience in healthcare/health insurance sector
  • Understanding of US Health Policy
  • Work from home as required

Work Rights

Not specified

Tailored Resume

Cover Letter