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Risk Adjustment Coordinator

Company: Optum
Location: Tacoma
Posted on: October 18, 2020

Job Description:

JOB DESCRIPTION

Coordinator – Risk Adjustment

Department : Risk Adjustment

Status : Regular Full-Time, FLSA Non-exempt

Location : Tacoma, WA

Reports to : Director of Risk Adjustment

JOB SUMMARY

The Risk Adjustment Coordinator performs a variety of administrative and staff support duties to support operations for the Risk Adjustment Team. This position resolves administrative problems and inquiries; composes, edits and proofreads correspondences and prepares a range of administrative documents and reports. Additional responsibilities include meeting support and answering/prioritizing communications and correspondence both internally and externally. Work involves the utilization of databases, complex spreadsheets, presentations and graphic materials.

ESSENTIAL DUTIES & RESPONSIBILITIES

Coordinates and performs a range of activities supporting the Risk Adjustment Team

Responsible for organizing all provider reporting preparation, delivery and tracking

Serves as a liaison with both internal and external customers on behalf of the Risk Adjustment team in the resolution of day-to-day administrative and operational problems

Draft, proofread and finalize various documents, including letters, memos and reports, ensuring they conform to established procedures, and adhere to appropriate use of the English language, correct grammar, spelling and punctuation.

Responsible for the support of provider office data collection process and periodic health plan data reports and requests

Support Clinical Prospective Review programs with queue prioritization and distribution

Support EMR and SFTP access for internal and external teams

Edits, validates, and transmits outbound reports

Maintains and updates files, databases, records, and/or other documents as necessary for assigned projects

Assists management and staff in problem solving, project planning, and development and execution of stated goals and objectives

Coordinates work plan development and maintenance with Network Engagement, Quality, and Education teams

Supports deployment and training of new point of care tools

Support team meetings, agenda, report preparation, manage minutes and distribution

KNOWLEDGE, SKILLS AND ABILITIES

Working knowledge of health care delivery networks

Intermediate proficiency in using Microsoft Office suite, including intermediate proficiency using Excel

Knowledge of proper grammar, business and/or technical writing and medical terminology

Highly developed skills in time management, organization and prioritization

Effective problem-solving skills and ability to apply solutions that comply with internal, contractual and regulatory frameworks

Ability to work in a tactful, diplomatic manner with internal and external customers and facilitate timely, efficient communication

Ability to maintain confidentiality of patient and all related entity business matters of the organization and its partners

Ability to identify and prioritize time sensitive matters and respond with a sense of urgency, as needed, while adapting to changes in workload demands

Demonstrated ability to work independently

Experience and ability multi-tasking in a fast-paced environment with multiple deadlines and changing priorities

Demonstrated attention to detail

Ability to read and understand English sufficiently to perform the duties of the position

Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency, including a high level of proficiency with MS Office Suite

MINIMUM QUALIFICATIONS

Education: Associates Degree in Business Administration or Healthcare related field preferred. Experience in lieu of education will be considered.

Experience:

3 years administrative experience with increasing level of responsibility

2 years working experience, within the last 5 years, with managed care products, Federal and State regulatory requirements (i.e., NCQA, HCFA, DOC), multiple health care delivery systems preferred

EQUIPMENT USED

Office equipment, computer

MENTAL & PHYSICAL DEMANDS/WORKING CONDITIONS

Mental Effort: Must be able to work effectively as a member of NPN team; work is detailed and complex with multiple competing priorities, deadlines and internal and external customers

Physical Requirements: Work is primarily in office environment requiring ability to see and hear and communicate

Working Conditions: Work is performed in an office setting; noise level may be moderate or loud on occasion

The job description does not constitute a written or implied contract of employment.  NPN reserves the right to revise or change job duties and responsibilities as the need arises.

Keywords: Optum, Tacoma , Risk Adjustment Coordinator, Other , Tacoma, Washington

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