Risk Adjustment and HEDIS Manager (Ontario)

Risk Adjustment and HEDIS Manager (Ontario)

08 Sep
|
Strive Health
|
Ontario

08 Sep

Strive Health

Ontario

Shape healthcare standards at Strive Health as the Manager of Risk Adjustment and HEDIS Education. Oversee provider education strategies while enjoying hybrid-remote flexibility for a balanced work-life.

In this pivotal role, you’ll lead educational initiatives that improve documentation quality and coding accuracy among providers. Collaborating closely with departments like Quality, Clinical Operations, and Compliance, you’ll develop standardized programs. You will ensure that providers understand the complexities of risk adjustment and HEDIS measures while preparing for audits and enhancing patient care outcomes.

Key Responsibilities:
• Design and deliver provider education programs on HEDIS and coding
• Set performance goals and timelines for educational initiatives




• Serve as a subject matter expert on documentation and coding
• Conduct reviews to identify gaps and trends in coding practices
• Develop training materials and curricula for provider onboarding

Requirements:
• Bachelor's degree in health-related fields
• 4+ years in medical coding, risk adjustment, or provider education
• Active CRC or CPC certification
• Solid knowledge of Medicare Advantage and ICD-10-CM coding
• Excellent communication and relationship-building skills

Enhance your leadership and educational expertise at Strive Health, where your work translates into improved patient outcomes.
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📌 Risk Adjustment and HEDIS Manager (Ontario)
🏢 Strive Health
📍 Ontario

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