VistaRecruiter Since 2001
the smart solution for Vista jobs

Director of Risk Adjustment

Company: The Judge Group
Location: Vista
Posted on: June 20, 2022

Job Description:

Location: Vista, CA Description: Our client is currently seeking a Director of Risk Adjustment located in Vista, CA. This job will have the following responsibilities:

  • Correlates HCC activities, HCC Project Plan, & HCC results to evaluate outcomes.
  • Gains insight to internal physician group HCC activities and incorporate into HCC - project plan.
  • Train all HCC activities for all assigned physician groups and insure that all tasks are completed in a timely manner.
  • Works jointly with senior Health Plan teams to evaluate training tools and ensure appropriate training of physicians is in place.
  • Manages assigned department staff ensuring timely and accurate completion of tasks.
  • Works jointly with Encounter Data Team to ensure accurate encounter data transmission processes exist for all groups and their affiliates capitated hospitals. - Provided solutions to any issues identified in the encounter data process in order to minimize or eliminate any negative impact to HCC results.
  • Review members' medical records in the Physician, Specialist, and Inpatient facility office for additional HCC's not submitted by provider group.
  • Takes initiative and is creative an innovative in solving or recommending ways to solve problems and issues. Qualifications & Requirements:
    • Minimum of five (5) years' experience in working with health care data such as claims, encounter data, and/or coding.
    • Certified Coder or coding experience required.
    • Understanding of Risk Adjustment model and HCCs.
    • Excellent analytical skills as it relates to health care data
    • Strong management, organization, and decision making skills If you are interested please contact Ricki Hoffman at 720-463-3580 or email your resume to ehoffman@judge.com. Contact: This job and many more are available through The Judge Group. Find us on the web at

Keywords: The Judge Group, Vista , Director of Risk Adjustment, Executive , Vista, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Vista RSS job feeds