Job description

Position Summary:

The HCC Project Manager is responsible for coordination and supporting of all projects related to the Risk Adjustment program within the organization. Lead interaction with providers and staff regularly. Training and maintaining up to date program requirements. Accountable for facilitating best working relationship between the assigned network and the physician trainer.

Essential Duties and Responsibilities include the following:

• Coordinate all activities for Risk Adjustment initiatives.
• Prioritize, distribute, track, and develop action plans to ensure timely completion of special projects.
• Work with the physician offices as applicable to meet Risk Adjustment guidelines per regulations
• Be sure to adequately train and manage provider staff, related to keeping them current with the necessary tools to practice within the guidelines of our programs.
• Provide administrative support to fulfil all Risk Adjustment needs pertaining to the provider offices for improving overall metrics.
• Train and educate provider offices how to follow-up and follow-through with completed patient visits, documentation, on the Health Risk Assessments.
• Communicate closely to maintain professional relations throughout this process.
• Work directly with the Risk Adjustment team to meet specified goals as determined by the executive leadership.
• Provide on-going meetings and education sessions as needed.
• Work to develop and manage a project plan.
• Develop departmental and individual goals.
• Perform other related duties as assigned or requested.

Education and/or Experience:

• 5+ years in the managed healthcare industry.
• Physician relations experience.
• BS desired, but not required.
• Strong interpersonal and communication skills.
• Ability to work with all levels of management
• Must have excellent verbal and written communication skills
• Proficient in MS Office programs(i.e. Word, Excel, Outlook, Access and Power Point)
• Must be a able to travel within service area and have a valid state driver’s license and insurance

The pay range for this position at commencement of employment is expected to be between $66,726.40-$70,000/year; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physician office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)
• Behavioral Health Services

Savings and Retirement:

• 401k Retirement Savings Plan
• Income Protection Insurance

Other Benefits:

• Vacation Time
• Company celebrations
• Employee Assistance Program
• Employee Referral Bonus
• Tuition Reimbursement
• License Renewal CEU Cost Reimbursement Program
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Job Type: Full-time

Pay: $66,726.40 - $70,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Tuition reimbursement
• Vision insurance

Experience level:

• 5 years

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Managed Care: 5 years (Preferred)
• Project Management: 2 years (Preferred)

Work Location: On the road

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