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    HE

    Henry Ford Health

    Healthcare

    Risk Adjustment Informatics Specialist

    Detroit, United StatesHybridFull-time7+ yrs experiencePosted 3w ago
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    Job description

    Role Overview

    As a Risk Adjustment Informatics Specialist, you'll play a critical role in driving complex program analytics and process improvements for Risk Adjustment, HCC Coding, and value-based reimbursement programs. You'll collaborate with internal teams to develop dashboards, report on program activities, and identify areas for enhancement. Your expertise will support physicians, clinical leaders, Revenue Cycle leadership, and executive teams in achieving optimal performance and compliance.

    Why Henry Ford Health

    At Henry Ford Health, we are relentless advocates for exceptional care for our patients, communities, and each other. We come to do meaningful work and grow our careers, and we stay for the connection, support, and shared pride in making the impossible, possible.

    What You Will Do

    • Conduct complex program analytics and process improvement activities for Risk Adjustment and HCC Coding.
    • Develop and maintain program dashboards to report on Risk Adjustment and HCC coding activities.
    • Proactively identify areas for improvement in Risk Adjustment methodologies and coding practices.
    • Serve as a subject matter expert on Risk Adjustment methodologies, HCC coding, and value-based reimbursement programs.
    • Communicate CMS and program requirement updates to ensure continued compliance and optimal performance.
    • Present findings and recommendations to leadership for decision support and performance tracking.

    What You Will Need

    Required Qualifications

    • Bachelors degree in healthcare, science, business, computer science, or related field.
    • Five (5) years of experience in a healthcare or business setting.
    • Quantitative analysis experience in data science, including data mining, predictive modeling, and statistical analysis.
    • Extensive knowledge of Risk Adjustment methodologies, HCC coding, and value-based reimbursement programs.
    • Proficiency in Microsoft Office (Excel, Access, PowerPoint, Word, Project, PowerBI).

    Preferred Qualifications

    • Masters degree in healthcare, science, business, engineering, or computer science.
    • Seven (7) years of experience in a healthcare or business setting.

    What We Offer

    At Henry Ford Health, you'll have the opportunity to grow your career through collaboration, mission-driven work, and continuous learning. Join a team that values innovation, excellence, and making a meaningful impact on healthcare.

    Join Our Team

    Ready to make a difference? Apply now and be part of our mission to advance health and wellness in our communities.

    Job details are sourced from the employer's original posting.

    Open job posting
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    About the company

    Henry Ford Health

    At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world.

    View all Henry Ford Health jobs
    Industry
    Healthcare
    Open roles
    1730

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