Vendor Risk Adjustment Operations Coordinator

Job Description

Job Description

Who We Are :

At the intersection of health plans and providers, Apixio is creating a leading Connected Care platform to minimize reimbursement inaccuracies and high-quality patient care so they can thrive as the industry moves toward value-based reimbursement models.

The combination brings together healthcare expertise, AI / machine learning technology and data-driven analytics solutions to deliver innovative solutions and value to our customers and the healthcare ecosystem.

We aim to accelerate the shift toward alternative payment models, while enhancing efficiency and supporting better patient outcomes.

About the role :

The Vendor Risk Adjustment Operations Coordinator will coordinate initiatives to improve the accuracy and productivity of Apixio's clinical coding operations for risk adjustment and quality.

This role will assist in managing relationships with third party coding vendors as needed and take responsibility for improving risk adjustment coding processes.

Who you are :

• Lead the Apixio relationship with the coding vendors to ensure that Apixio receives the best possible result delivery, service and support.
• Manage coordination, tracking and reporting of all things related to coding projects.
• Lead (coordinate, motivate and facilitate) the efforts of associated project resources working closely with internal teams and our external vendor partners
• Ensure smooth communication channels between internal stakeholders via regular reporting and info sharing (daily / weekly / quarterly reports, meetings, status updates, etc.).
• Own Coding Vendor Operations project management processes, tools, reference materials and cross functional usage.
• Monitor coding project status and success ongoing.
• Identify, analyze and resolve problems as they arise; coordinating escalation and resolution with the appropriate stakeholders.
• Prepare weekly status reports and presentations for weekly vendor meetings
• Identify, define and execute process improvements in line with department needs and organizational goals.
• Deep understanding of business requirements, deliverables, processes, and technologies.

What you bring to the table :

• Effectively support diverse operational teams
• Must possess strong analytical and troubleshooting skills
• Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement
• Strong communication skills to effectively interact with all levels of the organization, business unit leaders, and staff in a tactful and positive manner
• Exceptional interpersonal skills, proven success in complex and ambiguous environments
• Ability to work independently, with high productivity, and regularly meet deadlines
• Prefer CMS and HHS HCC / Risk Adjustment experience
• Prefer Slack, Salesforce, Looker and Wrike (or other messaging, CRM, reporting and project management tools) experience

After 6 months you will have accomplished :

• Strong knowledge of the Apixio Risk Adjustment solutions platform (how coding projects are started, monitored and completed)
• Experience in handling coding resource management (coding vendor user account management, coding vendor coordination, coding project user assignment, monitoring coder performance)
• Collaborative relationships with operations team members (Coding Managers, Customer Success Managers, Analytics, Operations Support)
• Amicable and productive vendor relations through regular weekly online meetings
• Strong knowledge in coding software / tools (Salesforce, Slack, Looker, Wrike, Trakstar, Jupyter, etc.)
• Familiarity with other Apixio solutions (e.g. Nexus)

The salary range below is for Base Salary. Total compensation also includes benefits and variable compensation. Compensation will be determined based on several factors including, but not limited to, skill set, years of experience, and the employee's geographic location.

Base Compensation

$65,000 $95,000 USD

We recognize that people come with experience and talent beyond just the technical requirements of a job. If your experience is close to what you see listed here, please consider applying.

Diversity of experience and skills combined with passion is a key to innovation and excellence. Therefore, we encourage people from all backgrounds to apply to our positions.

Your skills and background may be more translatable to this role than you initially thought. Allow us the opportunity to get to know you.

Please let us know if you require accommodations during the interview process.

What Apixio can offer you :

• Meaningful work to advance healthcare
• Competitive compensation
• Exceptional benefits, including medical, dental and vision, FSA
• 401k with company matching up to 4%
• Generous vacation policy
• Remote-first & hybrid work philosophies
• A hybrid work schedule (2 days in office & 3 days work from home) ( Note : If the position is designated as REMOTE it will stay REMOTE )
• Modern open office in beautiful San Mateo, CA; Los Angeles, CA; San Diego, CA; Austin, TX and Dallas, TX
• Subsidized gym membership
• Catered, free lunches
• Parties, picnics, and wine-downs
• Free parking

We take your privacy very seriously. Please review our privacy policy to see exactly how we protect your information here

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status.

We are proud to be an equal opportunity workplace.

Notice to Recruiters / Staffing Agencies

• Recruiters and staffing agencies should not contact Apixio through this page. All recruitment vendors (search firms, recruitment agencies, and staffing companies) are prohibited from contacting our hiring manager(s), executive team members, or employees
• We require that all recruiters and staffing agencies have a fully executed, formal written agreement on file
• Apixio receipt or acceptance of an unsolicited resume submitted by a vendor organization to this website or employee does not constitute an actual or implied contract between Apixio and such organization and will be considered unsolicited and Apixio will not be responsible for related fees

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