Risk Adjustment Informatics Specialist- Troy
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.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more at 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 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 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 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.