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Lumeris

Principal RAS Partner – Educator

Lumeris

. Own and manage comprehensive Risk Adjustment strategies for clients .

Posted 10/22/2026full-timeRemote • United StatesLead💰 $98,400 - $132,225 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in Risk Adjustment strategies and methodologies, with a strong focus on developing educational content and training programs for healthcare providers. Proven ability to synthesize data and deliver impactful presentations while fostering strategic relationships within the healthcare sector.

Highest-signal resume keywords
Risk Adjustment Payment MethodologiesHealthcare ExperienceCoding Documentation Improvement (CDI)Presentation SkillsMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Risk Adjustment StrategiesData SynthesisProcess ImprovementEducational Content DevelopmentClinical Documentation ImprovementRegulatory KnowledgeStrategic Relationship ManagementProject ManagementTraining DeliveryCritical Thinking
Soft Skills
Interpersonal SkillsCommunication SkillsCollaborationAdaptabilityCustomer Service
Tools & Technologies
Microsoft WordMicrosoft PowerPointMicrosoft ExcelMicrosoft Outlook
Industry Keywords
HealthcareHealth PlanHealth SystemMedicaidMedicarePayer EnvironmentManaged CareCMS HCCHHSCOVID-19 Vaccination

About the role

Key responsibilities & impact
  • Own and manage comprehensive Risk Adjustment strategies for clients
  • Develop and implement risk adjustment operating plans and education programs for internal and external clients
  • Develop and foster effective internal and external strategic relationships
  • Synthesize and organize data, present information, and provide executive summaries
  • Support production of standardized coding training and educational content using industry-standard references and current regulatory/legislative guidance
  • Deliver provider training and education through classroom sessions, webinars, audio conferences, and written content
  • Interact with providers and clinical/administrative staff to advance Clinical Documentation Improvement program goals
  • Collaborate with internal teams to meet client- and project-specific goals
  • Maintain accountability for timely, high-quality customer service
  • Perform other duties as assigned

Requirements

What you’ll need
  • Bachelor’s degree in health administration, business administration or related field or equivalent
  • 8+ years of experience within Healthcare, Health plan, or Health System required, including payer, hospital, Medicaid/Medicare, provider environment or managed care or the knowledge, skills, and abilities to succeed in the role
  • Knowledge of Risk Adjustment Payment methodologies and understanding of the CMS HCC, HHS, and Medicaid
  • Excellent presentation skills, comfortably delivering educational presentations in large settings or 1:1, regardless of the format
  • Track record of creating Coding Documentation Improvement (CDI) collateral, presentations and other educational tools
  • Strong aptitude for critical thinking and data skills with the proven ability to identify, develop, communicate, implement, and impact process improvements and strategic initiatives
  • Proven ability to create results, prioritize workload, and respond to changing demands/timelines in a dynamic environment
  • Proficiency in Microsoft Office Programs including Word, PowerPoint, Excel, and Outlook
  • Excellent interpersonal and communication skills with the ability to collaborate and work through all professional levels, internally and externally
  • Authorized to work in the United States
  • Must have completed, at minimum, the initial series of an approved COVID-19 vaccine if interacting with at-risk members or prospects

Benefits

Comp & perks
  • Medical, Vision and Dental Plans
  • Tax-Advantage Savings Accounts (FSA & HSA)
  • Life Insurance and Disability Insurance
  • Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
  • Employee Assistance Program
  • 401k with company match
  • Employee Resource Groups
  • Employee Discount Program
  • Learning and Development Opportunities
  • Performance-based incentive and/or equity may be available depending on the position
  • Approved COVID-19 vaccination requirement for personnel who interact with at-risk members or prospects