ABOUT CONCERTO HEALTH
ConcertoHealth Inc. is the leading provider of specialized primary care and supporting clinical services for complex, frail, elderly, and dual-eligible patients. Operating exclusively in value-based agreements, ConcertoHealth provides high-touch, individualized care for patients, and deploys wraparound clinical resources to extend the reach of primary care practices. This comprehensive medical management solution, elevated by Concerto’s proprietary population health technology, improves overall healthcare quality and patient outcomes, benefitting payers and their provider networks.
Concerto delivers comprehensive care to Medicare, Medicaid, and complex-needs patients. The Concerto name reflects our unique approach to healthcare. It’s about how we work in concert with patients, providers, and health plans. Our approach focuses on bringing harmony across the spectrum of a patient’s care, health, and dignity.
The company is headquartered in Aliso Viejo, Ca. For more information, please visit: www.concertohealth.com
The Manager, Clinical Documentation Strategy and Operations will lead the production and analysis of risk adjustment and financial data associated with all aspects of Risk Adjustment and Quality programs as well as enterprise-wide operational process improvement related to risk adjustment and financial analytics.
The manager will also serve as the lead in efforts to work with health plan partners and vendors in the analysis of risk adjustment and financial data and will work to develop and implement processes to more efficiently and effectively exchange data, monitor data receipt and submission, and rectify data issues and discrepancies.
The manager will also lead internal efforts to develop robust reporting capabilities associated with the financial aspects of risk adjustment and quality programs. In addition, the manager will ensure that all departments (e.g. Quality & Clinical Documentation, Corporate Development, Finance, and IT) have the reports and data necessary to effectively monitor and report on risk adjustment and quality activities for current, potential, and future payer partners.
The manager will lead cross-functional and inter-departmental efforts and initiatives to facilitate the understanding of risk adjustment analytics and financial reporting and help drive, through collaboration with management and staff, enterprise-wide performance improvement.
The candidate will bring extensive experience with financial and risk adjustment reporting and analytics and a strong healthcare finance background. The candidate will also bring deep expertise in SQL and advanced Microsoft Excel analytics and reporting.
ESSENTIAL DUTIES AND RESPONSIBILITIES