Manager of Risk Adjustment & Value Based Reimbursement/Full Time/Hybrid

The Manager, Risk Adjustment & Value Based Reimbursement has an important role in a high-profile group tasked with implementing system-wide improvements and new operational processes to ensure optimal and compliant Mid-Revenue Cycle processes, in particular the participation in risk adjustment payment models and other value based initiatives.

Under minimal supervision from the Director, Risk Adjustment and Value Based Payment, the Manager is responsible for complex program management, strategic planning, and process improvement activities, and acts with a high degree of autonomy focusing on improving Mid-Revenue Cycle processes, Risk Adjustment and HCC Coding program management, Accountable Care Organization participation, and other alternative payment initiatives.

Responsibilities include planning and oversight of strategic initiatives, project portfolio / playbook management, personnel management, communication with key stakeholders, dashboard and reporting development, and working closely with physician and system leadership to drive progress toward system goals.

This position requires strong interpersonal and communication skills and well-developed analytic and organizational skills, and must be able to work effectively with leaders at all levels of the organization.

Flexibility, innovation, and creativity are necessary characteristics of the successful candidate. Individual is expected to learn and apply new continuous improvement methodologies, and to spread successful innovation throughout the institution to effectively manage the transition from Fee for Service toward Value Based Reimbursement at Henry Ford Health System.

EDUCATION AND EXPERIENCE :

• A Bachelors Degree is required.
• A degree in business administration (w / quality / operations improvement emphasis), healthcare administration (w / quality / operations improvement emphasis), organizational development, or similar field is preferred.
• Masters degree preferred.
• Five or more years experience in healthcare required, with at least three years experience in project management, revenue cycle, and / or clinical operations.
• 2-5 years of experience participating in or managing multidisciplinary and / or company-wide change management initiatives.
• Strong leadership / mentoring skills applicable to both departmental staff and multi-disciplinary teams.
• Knowledge of Medicare, Medicaid, Blue Cross and other third party payers billing and reimbursement regulations / policies, preferred.
• Comprehensive understanding of Risk Adjustment, HCC Coding, and alternative payment models.
• Demonstrated fluency in healthcare financial management and revenue cycle management best practices.
• Exceptional detail orientation and project management skills; ability to estimate time frames and meet projected deadlines;

ability to manage large, complex, simultaneous assignments with potentially conflicting priorities and deadlines.

• Excellent communicator able to express complex ideas clearly and effectively to a varied audience, including the ability to teach complex technical / analytical concepts to System leadership, management and staff.
• Able to develop buy-in and drive change across a wide variety of team members, departments, and stakeholders, including physician and senior-level leadership.
• Foundational knowledge of analytical / technical, facilitative, and process improvement knowledge.
• Strong Microsoft Office skills, particularly Excel.

Additional Information

Organization : Corporate Services

Department : HCC Administration

Shift : Day Job

Union Code : Not Applicable