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Temporary Risk Adjustment Campaign Associate
Cambia Health Solutions. Work with the Risk Adjustment operations team on ongoing activities related to Medicare Advantage and Commercial risk adjustment campaigns .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in project management within healthcare, focusing on risk adjustment operations and compliance. Proficient in analytical problem-solving and effective communication with stakeholders at all levels.
Highest-signal resume keywords
Project ManagementRisk Adjustment OperationsAnalytical SkillsMicrosoft Office SuiteHealthcare Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Project Management MethodsMedical Record RetrievalQuality Improvement TechniquesPerformance ManagementCompliance Monitoring
Soft Skills
Effective CommunicationProblem-SolvingTeam Collaboration
Tools & Technologies
FacetsPIMSEMR Access
Industry Keywords
Medicare AdvantageCommercial Risk AdjustmentService Level AgreementsStatements of Work
About the role
Key responsibilities & impact- Work with the Risk Adjustment operations team on ongoing activities related to Medicare Advantage and Commercial risk adjustment campaigns
- Perform day-to-day operations and performance management of risk adjustment campaigns under the direction of the Manager of Campaign Execution
- Conduct internal EMR medical record retrieval for all Risk Adjustment campaigns
- Monitor daily vendor performance against project schedule
- Support preparation of project reports and presentation of information to management, project teams, and client/customer groups
- Monitor project documentation for compliance with standards
- Develop and maintain the overall project documentation library, ensuring documentation is established, maintained, and retained in project databases
- Apply continuous quality improvement techniques and methodologies
- Plan and manage small, well-defined projects or sub-projects under general direction of senior project managers
- Retrieve medical records for MA and ACA campaigns through internal EMR access based on production goals
Requirements
What you’ll need- Bachelor's Degree in business, project management, healthcare, or related field and at least 2 years of experience in a project support role, preferably within health care, or equivalent combination of education and experience
- Ability to manage small, less complex projects with minimum supervision
- Experience with Microsoft Office suite of tools
- Demonstrated analytical and problem-solving skills
- Experience in project management methods and techniques
- Ability to interpret service provider contracts and statements of work (SOW)
- Ability to track and monitor service provider performance and delivery quality against service level agreements (SLAs)
- Ability to communicate effectively, verbally and in writing, with all levels of leadership
- Knowledge of Facets, PIMS, and claims processes is preferred
- Background check required
- Access to a personal mobile device for Multi-Factor Authentication (MFA)
- Wired internet connection that is not satellite or cellular, with minimum upload speed of 5Mb and minimum download speed of 10 Mb, for work-from-home option
Benefits
Comp & perks- Work from home options for most roles
- Competitive salary
- Generous benefits (not applicable to this temporary non-benefited assignment)
- Career growth and development opportunities
- Cambia-supported community outreach programs
- Employee resource groups
- Wired internet connection requirements for work-from-home option
- Personal mobile device access for Multi-Factor Authentication