远程风险调整运营经理
Manager, Risk Adjustment Operations - Remote
Datavant 是一家数据平台公司，是全球医疗数据交换领域的领导者。我们的愿景是让每一次医疗决策都能在正确的时间、以正确的形式获得正确的数据。
我们的平台依托美国最大、最多样化的医疗数据网络，使数据安全、可访问且可用，从而帮助做出更好的医疗决策。Datavant 被全球领先的生命科学公司、政府机构以及提供和支付医疗护理的各方所信赖。
加入 Datavant，你将加入一个高绩效、价值观驱动的团队。我们共同致力于用技术驱动的解决方案应对医疗领域最复杂的问题。Datavant 员工带来了多样化的专业、教育和生活经验，以实现我们对医疗健康的远大愿景。
我们正在寻找：
风险调整运营经理负责编码生产的监督与管理，包括质量、供应商管理。该职位需确保遵守部门目标、质量标准、指标、政策等。他们将就活动、状态、趋势、辅导/反馈方法以及协调额外资源以支持编码生产与质量提供领导和指导。
你将负责：
- 制定并管理团队的日常、周度和月度生产与质量目标，确保部门目标的达成。
- 跨职能协作，确保 QA、趋势和教育内容及时准确地传达给团队成员。
- 维护内部编码政策和流程，确保合规性、编码一致性及最新的编码实践。
- 监督新员工入职、人员配置计划和员工绩效，确保最优的人才管理和利用。
- 有效管理团队并充分利用资源，以实现编码运营的 KPI。
- 对主管和员工进行问责并指导其符合业务价值观和编码运营 KPI。
- 向编码领导汇报业务趋势、项目编码模式以及实现 KPI 或截止日期的障碍。
- 与培训/教育部门合作，重点关注内容开发与设计、培训协调与实施。
- 管理远程编码团队以及必要时现场团队的审计与质量部门的所有方面。
- 监测并报告培训项目的有效性，通过研究、基准比较，提出培训建议
查看英文原文
Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
What We’re Looking For:
The Manager, Risk Adjustment Operations is responsible for the oversight and management of coding production, quality, and vendor management. This role is responsible for ensuring adherence to departmental goals, quality standards, metrics, policies, etc. They will provide leadership and guidance regarding activity, status, trends, coaching/feedback methods and coordination of additional resources to support coding production and quality.
What You Will Do:
- Create and manage team’s daily, weekly and monthly production and quality goals to ensure that department objectives are met.
- Cross functional collaboration to ensure that QA, trends and education is provided timely and accurately to team members.
- Maintain internal coding policies and procedures to ensure compliance, coding consistency and up to date coding practices.
- Oversee onboarding, staffing plans and staff performance to ensure optimal talent management and utilization.
- Effective team management and utilization to achieve coding operational KPI’s.
- Accountability and mentoring of supervisors and staff to business values and coding operations KPI’s
- Reporting to coding leadership on business trends and project coding patterns as well as an obstacles to achieving KPI’s or deadline.
- Collaboration with the Training/Education Department with a focus on content development/design, training coordination and facilitation
- Manage all aspects of the Auditing and Quality Department for remote coding teams as well as field teams as necessary.
- Monitor and report effectiveness of training programs from research, benchmark, propose training and development opportunities to drive continuous improvement.
- Approve team member’s PTO and manage staff’s time out of office while continuing to meet department Auditing and Quality goals.
- Knowledge and expertise in use of NLP and AI technology in coding business.
- Collaboration with coding production to achieve 95% coding quality accuracy at project level.
- Accountability and mentoring of quality and audit supervisors and audit staff to business values and coding operations KPI’s.
- Vendor oversight – performing production and quality oversight for both onshore and offshore vendors.
- Facilitate communication in regards to production and quality KPI metrics with vendors.
- Monthly reconciliation of vendor performance metrics to assist with billing and SLA penalties if applicable.
- Provide operational assistance to vendors regarding training, project assignment and system support.
- Business related travel up to 20%.
What You Need to Succeed:
- Bachelor’s Degree or a minimum of five years of equivalent experience in quality and/or coding management role(s) with increasing level of responsibility.
- A minimum of 5 years of experience in risk adjustment coding and/or auditing experience.
- 3-5 years of people leadership experience
- Experience with adult learning methodologies and distance learning preferred
- Excellent written and oral communication skills.
- Strong managerial, leadership, and interpersonal skills.
- Outstanding organizational skills.
- Ability to communicate effectively with all levels of the organization.
- Ability to work effectively in a remote, team environment.
- Flexibility in work schedule to meet departmental needs.
- Strong analytical and problem-solving skills to grasp the key points from complicated details and provide direction/ coaching to members of the team.
- A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes.
- Ability to analyze data to determine the root cause of identified quality/production concerns.
- Must be able to follow instructions, meet deadlines and work independently.
- Intermediate Excel skills and the ability to use other Microsoft applications
- Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data.
- AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC)
What We Offer:
- Comprehensive health, dental, and vision insurance
- Retirement savings plan
- Opportunities for career growth and development
- Employee wellness programs
- Additional benefits based on location and role
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.
The estimated total cash compensation range for this role is:
$94,000$110,000 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.
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Originally posted on Himalayas