RISE Job Board

Position Title:  RISE Program Manager

Reporting Relationships Managing Director of FRA Wilmington, LLC

Location:  Preference for headquarters sited in Charlotte, NC

RISE Program Manager Job Duties:

Support of Membership Growth Initiatives, Cross-functional and Organization Management, Management of Multiple Parallel Projects, Matrixed Management Proficiency, Developing Budgets and Projections, Process Improvement, Tracking Budget Expenses, Self-Development, Planning, Performance Management, Communication Control, Verbal Communication Internally and Externally with Stakeholders.

Job brief

We are looking for an experienced professional with marketing and project management expertise who will take on the management of key strategic and tactical projects under the direction of the Managing Director of Wilmington FRA and in close coordination with the Executive Director of the RISE Association. Project management responsibilities include working extensively in a cross-functional, matrixed environment internally, as well as with strategic external stakeholders and third parties.  The projects will vary in length and complexity, and involve all phases from incubation to implementation and evaluation.  The business context is one of significant growth, change and transformation.  Expectations for this position include delivering every project on time, within budget and within scope. 

Responsibilities

  • Coordinate internal resources and third parties/vendors for the flawless execution of projects
  • Ensure that all projects are delivered on-time, within scope and within budget
  • Assist in the definition of project scope and objectives, involving all relevant stakeholders and ensuring technical feasibility
  • Ensure resource availability and allocation
  • Develop a detailed project plan to monitor and track progress
  • Manage changes to the project scope, project schedule, and project costs using appropriate verification techniques
  • Measure project performance using appropriate tools and techniques
  • Report and escalate to management as needed
  • Successfully manage the relationship with the client and all stakeholders
  • Perform risk management to minimize project risks
  • Establish and maintain relationships with external stakeholders, third parties and vendors
  • Create and maintain comprehensive project documentation
Click on this link to download job description

Application Process: 

Send Resume and Contact :

Stephanie Kohlenstein, VP of Operations Financial Research Associates, Financial Research Associates, LLC 

E-Mail:  SKohlenstein@frallc.com

Phone:  704-341-2380

 

 

Job Title: Risk Adjustment Data Analyst

Company:  Health Partners Plans             Location: Philadelphia

General Description: 

The Risk Adjustment analyst will be responsible for compiling, verifying, and analyzing data for trend and other analyses related to Risk Adjustment.  This person will be collecting and analyzing healthcare related data by performing data management and quality improvement studies on that data and producing the resulting reports.  The Analyst will develop expert knowledge of the Center for Medicare & Medicaid Services (CMS) – Hierarchal Condition Categories (HCC) and University of California San Diego (UCSD) Chronic Illness and Disability Payment System (CDPS) risk adjustment model, its concepts and methodology in order to reconcile CMS and Department of Human Services (DHS) risk score reports, project future revenue related to risk adjustment and evaluate financial impacts of risk adjustment initiatives.  Reports, Analysis results and actionable information will be shared with providers and senior management.

Posting Link:   click here to go to job posting on company website      

 

Job Title:  Email Marketing Manager for EpiSource

Division:  Sales & Marketing

 Your opportunity at Episource is to simplify healthcare!  

Are you a rockstar marketer with hands-on email marketing experience? If so, Episource is looking for a results-oriented, driven individual to manage email marketing programs that will drive brand awareness, engagement, and retention. If you’re analytical and metrics oriented with a desire to work for a dynamic and fast-growing healthcare company, this role may be for you.

Responsibilities:

  • Full ownership of email marketing campaigns including planning, setup and execution using a marketing automation platform (Pardot) and CRM (Salesforce)
  • Manage and segment our lead database to maintain data integrity, optimize targeting, and improve delivery and response rates
  • Collaborate with various teams to create email template designs, call-to-actions, content, and subject lines that follow email best practices
  • Provide tactical planning solutions for future workflows and strategy based on results (clicks, opens, site visits, page visits, return visits, conversions)
  • Analyze and report on specific campaigns, objectives, results and KPIs highlighting success, trends and opportunities
  • Ensure communication with our audience is excellent and in alignment with brand guidelines

 Qualifications:

  • BA/BS in Marketing/Communications/Business or equivalent relevant working experience
  • 2-4 years of hands-on experience with email marketing automation
  • Experience with Salesforce a big plus, Google analytics experience a plus
  • Highly analytical with the ability to read data and make recommendations for future enhancements to our messaging and content
  • Positive attitude with the ability to manage change, thrive in a fast-paced environment, deal with ambiguity, and prioritize multiple projects 
Click here to download full description

If interested, please send your resume and cover letter to accountsupport@episource.com

January 31, 2017

 

Job Title:  Sales Development Representative for EpiSource (Exempt)

Division:  Sales & Marketing  Reports to:   SVP Sales & Marketing

Your opportunity at Episource is to simplify healthcare!  

  • Episource leverages data to provide patient insights and drive interventions. As thought leaders and subject matter experts, we are constantly striving to identify actionable insights. We service the $3.0 trillion healthcare space and our clients represent leading organizations throughout the United States.
  • Episource is at the forefront of the ever-evolving healthcare marketplace. We help clients paint an accurate picture of patient health profiles by analyzing medical records, claims, and clinical data sets.
  • We have grown significantly to support the regulatory changes over the last 10 years, and are poised to continue our expansion as the leader in the marketplace.


The Challenge you will face:

  •  We have proven that we can close, deliver, and grow customer accounts. We need a strong communicator to engage prospects captured from marketing and drive interest in Episource’s services.
  • Through dialog, create brand awareness and quickly establish Episource as an industry leader with companies that may or may not be familiar with us.
  • This is a new opportunity within Episource that allows someone to implement sales techniques and tools that they’ve used in the past to help guide the growth of this function within the company.
  • We are an entrepreneurial and fast-growing company. You need to be disciplined and tenacious to overcome client objections. You need to roll up your sleeves and deliver.

 Doing the right things:

  • Build a valuable and convertible pipeline. You will be the expert at engaging potential customers through email and phone to qualify for relevance and fit.
  • Conduct research (social, online, Linkedin) to identify the right target accounts and contacts to pursue.
  • Effectively communicate (speak and listen) with potential customers, think on your feet, and overcome objections to quickly establish credibility and build rapport.
  • Strong written communication skills to provide insight to sales executives once sales opportunity is created.
  • Put your stamp on building scalable, repeatable processes.
  • Take initiative and accountability for own success.

 Changing the World (and Your Career):

  •  You will be the face of Episource and our efforts to simplify healthcare.
  • You will be responsible for initiating 10 prospect meetings per month.
  • You will create a qualified sales pipeline in excess of $3M.
  • Your contribution will support closing of $1M in revenue annually.
  • Your contribution will have huge impact on Episource’s growth.
  • You’ll love crushing goals with us!  
Click here to download full description

If interested, please send your resume and cover letter to accountsupport@episource.com

January 31, 2017

 

Job Title:  Sales Executive for EpiSource (Exempt)

Division:  Sales & Marketing    Reports to:   SVP Sales & Marketing

Your opportunity at Episource is to simplify healthcare!  

  • Episource leverages data to provide patient insights and drive interventions. As thought leaders and subject matter experts, we’re constantly striving to identify actionable insights.  We service the $3.0 trillion healthcare space and our clients represent leading organizations throughout the United States.   
  • Episource is at the forefront of the ever-evolving healthcare marketplace. We help clients paint an accurate picture of patient health profiles by analyzing medical records, claims, and clinical data sets.
  • We’ve grown significantly to support the regulatory changes over the last 10 years, and are poised to continue our expansion as the leader in the marketplace.  

The Challenge you will face:

  •  We’ve proven that our value proposition resonates, our services deliver great value and we can grow customer accounts. 
  • We need a strong hunter to help broaden our customer base to further our growth and successes in simplifying healthcare. It will require aptitude to learn our healthcare market in order to converse credibly with clients.
  • Identifying the right target accounts and contacts will require your leadership and understanding of our value proposition and healthcare marketplace. Building a sustainable pipeline is critical to your success.
  • In a demand-rich market, selecting the best opportunities to pursue that are winnable, desirable, and deliverable is key to success. Your leadership is required to focus the team on winning.
  • We are an entrepreneurial and fast-growing company. You need to create value-based relationships that allow our services to shine. You need to deliver.

Doing the right things:

  • Build a valuable and convertible pipeline. You will be the expert at engaging potential customers throughout their buyer journey to create successful long-term client relationships
  • Conduct research (social, online, Linkedin) to identify the right target accounts and contacts to pursue
  • Effectively communicate (speak and listen) with potential customers, think on your feet, and overcome objections to quickly establish credibility and build rapport
  • Drive the lengthy buying process from prospecting to closing of deals valued at $200k - $1M+. This involves education, support in developing RFPs and competently working with buyers in understanding the benefits of switching to our solution vs. competitive offerings or the status quo. It also involves aligning to our sales process and salesforce platform to communicate internally on progress.
  • Proven history of sales success
  • Take initiative and accountability for own success while knowing when to ask for help.   
Click here to download full description

If interested, please send your resume and cover letter to accountsupport@episource.com

January 31, 2017

 

 

Clinical RA Coding and Quality Educator,

North Texas Specialty Physicians, Ft. Worth, TX

 General Functions:

  • Assist in the collection and analysis of qualitative and quantitative data as it relates to risk adjustment specifically around missed opportunities, prevalence and suspects. 

  • Assist in the design and development of ad hoc reports and presentations for risk adjustment initiatives.

  • Meet with organizational leadership to partner on Physician Risk Education strategy

  • Ability to communicate and interact positively and professionally throughout all levels of the organization and with external customers.

  • Assist with the development and utilization of training and attendee tracking metrics and methodologies.

  • Assist with the development of physician and staff coding remediation plans where appropriate including provider assessment and scorecard. 

  • Monitor education programs, timelines, learner progress and report to leadership when appropriate.

  • Provides onsite instruction per location (practice/clinic) for physician practice and office staff with ICD-9-CM /  ICD-10-CM coding training focusing on Medicare Risk Adjustment documentation and coding opportunities.

  • Provides instructional review of ICD-10-CM translations specific to Medicare Risk Adjustment-type diagnosis codes.

  • Performs outreach on Risk Adjustment Education based on review of pre-selected charts coupled with data management, data reporting and analysis, and provider scorecards. 

  • Consistently demonstrates the ability to speak and present at outreach events professionally with strong analytical, problem-solving and critical thinking skills.

 MINIMUM EDUCATION: 

  • Certified Coder / Trainer

 PREFERRED EDUCATION: 

  • Bachelor degree in Nursing or Healthcare degree with 5 to 7 years’ experience training providers on Medicare Advantage Risk Adjustment documentation. 

 MINIMUM EXPERIENCE:

  • Education and training experience with strong organizational skills in multiple settings, as well as the ability to exercise sound judgment and initiative.

  • Strong presentation skills.

  • Excellent problem solving and the ability to handle multiple projects, heavy workloads and deadlines in a fast paced dynamic environment.

  • Self-motivated with excellent follow through skills with ability to work independently with minimal to moderate supervision with demonstrated ability to work as an effective team member.

  • Strong working knowledge of MS Office products, including PowerPoint, Excel and Word

  • Adobe Captivate, Articulate and/or MLS relational database knowledge desired.

  • Have minimum of 5 years’ Healthcare / Coding / Education / Quality experience.  

Contact:  Please have all resumes return to our NTSP Career email of careers@ntsp.com.  You may also contact Carol Trevino, Recruiter, at ctrevino@ntsp.com

Click here to download full description
 January 23, 2017

 

Log on to Your Rise Account

Forgot your password?
Create an Account

Sponsors

Latest Posts

And the Money Kept Rolling In...

By Julie Mason, Principal, Medicare Compliance Solutions Several days ago, CMS announced the 17 Medicare Advantage (MA) plans subject to civil monetary penalties (CMPs) based on their 2016 audit findings. Until this year, the months of February and March in the MA space meant the application season. Now, based on CMS’ March 1 memo on CMPs, it is the application-and-enforcement actions season. Unlike past years, when CMS posted audit-based enforcement actions on a rolling basis throughout the year, they are now holding public notification of audit-based CMPs until the first quarter of the following year. (Although the CMS memo didn’t explicitly address timing of intermediate sanctions—e.g., freezing of enrollment and marketing—one should presume those actions will be imposed and announced on a more immediate basis.) This change in process allows CMS to evaluate all audits simultaneously (grading on a curve?), and that can’t happen until the end of audit season, typically November or early December. Add a couple of months for decision-making by CMS and the twenty layers of review required to issue just about anything, and that brings us to deep into the first quarter of the next year. So what does this mean for MA plans scheduled for a 2017 audit, or the many MA plans who suspect they’re on the 2017 audit hit-list? For one, it means that audited MA plans may not know until well after the audit closes whether they will be sanctioned. Following a CMS audit, there is often a fair amount of conjecture amongst senior management regarding whether the audit findings are significant enough to result in sanctions or enforcement actions. It’s not a fun exercise, and will be more protracted now that sanctions are announced in one fell swoop in the first quarter of the following year. For all MA plans, it means there won’t be a clear window on CMS’ approach to enforcement during the current year. And with a new and unpredictable administration in place (sort of), we will all be looking for clues. The March 1 memo stated that sanctions and enforcement actions for regulatory violations identified through sources other than audits would continue to be posted to the CMS website “within the normal timeframe after notification to the sponsor,” which typically has been within a few days or so. But non-audit related sanctions and enforcement actions are few and far between, or at least they have been up until now. ...
Read More

Winning in Risk Adjustment Five Steps for Health Plan Executives to Boost Coding Accuracy and Efficiency

Executive Summary An educational whitepaper, courtesy of Talix As the healthcare industry continues to shift from volume-based to value-based reimbursement, health plans are moving to change the way they do business. Recognizing that the cost of and incentives associated with traditional fee-for-service care are unsustainable, they are expanding their risk-based contracting efforts and seeking out more innovative ways to help providers deliver better care at a lower cost. For these payer organizations, accurate and timely risk adjustment is crucial to their success, as it has a direct impact on both plan revenue and care quality. The stakes are high and will only continue to grow. In today’s highly regulated, competitive and increasingly quality-focused market, payers must look to technology for cost-effective ways to expand their risk adjustment strategies. This white paper outlines the risk adjustment challenges health plans face and how technology-enabled data analytics can help plans tackle the problem and master risk adjustment through five proven steps for improved coding efficiency, productivity and accuracy. A Changing Marketplace...
Read More

Upcoming Conference

 

The RISE Quality Leadership Summit 

This unique event incorporates three conferences presented side-by-side: the Star Ratings Strategic Planning Forum, the HEDIS Forum, and the CAHPS, HOS & Member Survey Forum. Register for one conference for an in-depth examination of a single area, or design your own event by opting for the all-access pass and choosing the sessions from each conference which correspond exactly to your interests.

More

Upcoming Webinar

360° Risk Adjustment: A Strategy for Success in the Value-Based Care Era

 

In this webinar, attendees will discover that when risk adjustment is treated as a priority – not just as an actuarial exercise – and brought into the organization’s long-term strategy, it can be properly leveraged as an asset to drive growth and advance the organization’s mission of keeping patients healthy. Risk-bearing entities who embrace a 360° approach to risk adjustment will outpace their competitors in the transition to value-based care models.

More

Connect With Us

Copyright © 2014 Resource Initiative & Society for Education. All rights reserved.