Arcadia Healthcare Solutions

  • Senior Product Manager of Risk Adjustment and Coding

    Location
    US-MA-Burlington
  • Overview

    Join the product development team of a high growth population health management company, specializing in data aggregation, analytics, and workflow software for value based care. Reporting to the VP of Product Development and joining a talented team of product experts, you will take full ownership over market analysis, research, design and development of coding, risk adjustment and health plan product offerings. This is a hands-on position designing and promoting the next wave of advanced healthcare analytics products with a great team of product managers and software engineers.

    Responsibilities

    • Oversee research and design of new product offerings related to coding, risk adjustment, and value-based care contract maximization
    • Design products in collaboration with the product management team and a vast network of advisors and industry experts
    • Coordinate with our engineering team and oversee effective development of product designs and requirements
    • Support sales and marketing in the growth and visibility of these new products in a fast-moving healthcare analytics market
    • Build meaningful relationships across the market to identify trends, opportunities and potential partners

    Qualifications

    • Intimate knowledge of Medicare’s HCC risk adjustment mechanism and the associated coding and documentation requirements
    • Experience with Medicare Advantage and/or Medicare Shared Savings programs, specifically with premium adjustment and quality incentives
    • Experience working directly with chart audits, HRAs and RN coders for coding accuracy and care gaps on behalf of health plans and/or risk-bearing provider groups
    • Intimate knowledge of value-based-care contracts and experience using data to support program development and contract maximization
    • 10+ years healthcare experience
    • Customer/client interaction and management experience, with strong presence communicating complex concepts to customers and prospects
    • Project/product management skills including development and tracking of budget and seeing to on time delivery of complex products

      

    Preferred

     

    • Experience with commercial risk adjustment programs (in addition to Medicare) preferred
    • Background in mathematics, economics statistics or finance preferred
    • Product management experience a plus

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