Risk Adjustment Informatics Specialist- Troy

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Business (Non-Clinical)
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191225 Requisition #
Thanks for your interest in the Risk Adjustment Informatics Specialist- Troy position. Unfortunately this position has been closed but you can search our 1,058 open jobs by clicking here.

EDUCATION/EXPERIENCE REQUIRED:

  •  Bachelor’s degree with a health care, science or business focus and strong technical computer knowledge or a Bachelor’s degree in computer science with strong health care experience required.
  •  Master’s degree or equivalent experience in health care, science, business, engineering or computer science preferred.
  •  Five (5) years of experience in a healthcare or business setting required.
  •  Seven (7) years of experience in a healthcare or business setting preferred.
  •  Quantitative analysis experience in data science capabilities including data mining, predictive modeling, machine learning, statistical modeling, large scale data acquisition, transformation, and structured and unstructured data analysis.
  •  Extensive experience in Risk Adjustment methodologies, Risk Adjustment Factor Score calculation, governmental programs, and HCC coding.
  •  Knowledge of and access to relevant System data or data gathering techniques.
  •  Expert in the use of Microsoft Office products, particularly Excel, but also Access, PowerPoint, Word, Project.
  •  Extensive knowledge of Medicare, Medicaid, Blue Cross and other third party payers billing and reimbursement regulations/policies, particularly around Risk Adjustment, HCC Coding, and other value based reimbursement programs.
  •  Experience in gathering and organizing data and information from disparate sources and presenting findings to leadership in a way that is useful for decision support, benchmarking, and quality performance tracking.
  •  Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to System leadership, management and staff.
  •  Comfortable communicating complex ideas and strategic recommendations to clinicians and executive leadership.
  •  Strong interpersonal skills; ability to communicate effectively with all levels of management and staff across the System.
  •  Project management and/or LEAN, Six Sigma experience a plus.

     Overview

       Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health

       care systems, is a national leader in clinical care, research and education.  The system includes

       the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health

       insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory

       network and many other health-related entities throughout southeast Michigan, providing a

       full continuum of care.  In 2015, Henry Ford provided $299 million in uncompensated care.

       The health system also is a major economic driver in Michigan and employs more than 24,600

       employees.  Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient.  The

       health system is led by President and CEO Wright Lassiter III.  To learn more, visit HenryFord.com.

     Benefits

       Whether it's offering a new medical option, helping you make healthier lifestyle choices or

       making the employee enrollment selection experience easier, it's all about choice.  Henry

       Ford Health System has a new approach for its employee benefits program - My Choice

       Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

       dozens of options for all of our employees including compensation, benefits, work/life balance

       and learning - options that enhance your career and add value to your personal life.  As an

       employee you are provided access to Retirement Programs, an Employee Assistance Program

       (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness

       and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other

       benefits and services.  Employee's classified as contingent status are not eligible for benefits.    

      Equal Employment Opportunity/Affirmative Action Employer

        Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

        committed to the hiring, advancement and fair treatment of all individuals without regard to

        race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

        weight, marital status, family status, gender identity, sexual orientation, and genetic information,

        or any other protected status in accordance with applicable federal and state laws.

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