MRA Adjustment Analyst
P3 Medical Group
Henderson, NV (In Person)
Full-Time
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Job Description
People. Passion. Purpose. At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization, then you should consider joining our team. Overall Purpose The Market MRA Analyst works closely vendor partners, health plans & designated market team to build member level insights to inform strategic market interventions. This position requires someone who is adept at problem solving, seeing the big picture and the ability to communicate effectively with internal & external constituents. Essential Functions Dashboard Development & Maintenance Work with vendors and internal teams on ensuring accuracy of data being presented Ensure continued evolution of dashboard development both externally and internally Continuously monitor dashboards for assigned market for insights to performance improvement Strategic Initiative Guidance Respond to requests for analysis and provide analytic support to the Market Leaders Work with vendors and markets to approve and manage target lists for Chart Reviews Monitor the performance of the Prospective program to identify areas for improvement Work with Market teams and MRA leadership to identify strategies to implement In Home Assessment initiatives Identify provider education opportunities based on coding results, queries, prospective performance and/or prevalence Work with vendors and internal teams on ensuring accuracy of data being presented Ensure continued evolution of dashboard development both externally and internally Continuously monitor dashboards for assigned market for insights to performance improvement Respond to requests for analysis and provide analytic support to the Market Leaders Work with vendors and markets to approve and manage target lists for Chart Reviews Monitor the performance of the Prospective program to identify areas for improvement Work with Market teams and MRA leadership to identify strategies to implement In Home Assessment initiatives Identify provider education opportunities based on coding results, queries, prospective performance and/or prevalence Knowledge, Skills and Abilities Proficiency in SQL Strong communication and strong written skills as well as proficiency with Microsoft Power Point Working knowledge of the provider-based healthcare industry, claims processing, provider billing or Risk Adjustment or Medicare Advantage strongly preferred Self-motivated, creative problem solver who can work independently, see the bigger picture and collaborate through strong communication and interpersonal skills Strong project management experience and ability to handle multiple projects in a fast-paced environment. Experience At least 5 years previous work experience within risk adjustment. Education Bachelor's degree from an accredited institution. Travel Details Periodic travel to Corporate Headquarters Ad hoc travel to Markets or other partner locations Bachelors or better. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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