Senior Consultant I - Medicare Risk Adjustment

Wakely, an HMA company, seeks an experienced Medicare risk adjustment leader to support our risk adjustment operations consulting team.  

We are seeking candidates with deep experience in the following skills and processes: 

• Encounter submissions 

• Chart Reviews 

• Vendor management 

• Developing coding guidelines 

• Value-Based contracting 

• Coding compliance and RADV 

Job Summary

The Senior Consultant I is responsible for managing Wakely’s client relationships by designing and monitoring plans to achieve strategic goals.  In addition, the position will manage a project team to ensure quality and timely deliverables. This role has supervisory responsibilities.

Work Performed and Job Requirements

• Client Management - Develop and Maintain Client Relationships
• Implement initiatives for Wakely products, tools and services through training and regular meetings
• Manage and understand individual client needs and develops a strategic plan to meet those needs
• Manage client relationships to include client visits, ongoing correspondence and feedback
• Mitigate risk by ensuring client contracts, documentation and processes are followed
• Project Management - Supervise and Account for the Execution of Project Plan
• Conduct periodic reviews of project plans, final deliverables and post project results
• Oversee project communication and provide venues for constructive feedback
• Ensure project team is providing quality deliverables, updates and billing clients within timelines
• Appropriate delegation of work
• Professional/Industry Development – Gain and Sustain Professional/Industry Knowledge
• Implement industry training for internal/external initiatives
• Identify needs and align employee career path plans
• Manage the creation of additional resources and reference materials
• New Business Development – Seek Opportunities for the Organization's Growth
• Implement brand recognition through participating in seminars/events and research papers, etc.
• Generate new business and/or product lines by executing on established action plans
• Manage new marketing initiatives to generate sales leads
• Introduce new value add services to current clients
• Internal Operations - Manage Best Business Practices
• Prioritize and manage operational efficiency initiatives
• Administer compliance of policies and procedures to ensure cross office collaboration
• Recruit top talent and participate in the selection and orientation process
• Oversee and participate in community and professional volunteer activities/opportunities
• All other duties as assigned.

Education/Training

Minimum of a bachelor’s degree in a relevant field required.

Experience

Minimum of 8 years of experience in one or more of Wakely’s core areas (Medicaid, healthcare reform, ACA, Provider Sponsored Organizations and Medicare Advantage) required, with at least 2 years of project management and client management experience.

Knowledge, Skills and Abilities

• Initiative - Ability to decide in an independent way what actions should be taken;
• Effective Communication - Demonstrates the ability to convey thoughts and express ideas effectively, both verbally and written;
• Team Player - Builds constructive working relationships characterized by a high level of acceptance, cooperation and mutual respect;
• Time Management - Makes reasonable estimates of resources needed to achieve goals or complete projects. Uses methods to plan and track work and commitments;
• Continuous Learning - Displays an ongoing commitment to increasing skills;
• Leadership - Develops the ability of others to perform and contribute to the organization by providing ongoing feedback and opportunities to learn through formal and informal methods.
• Emotional Intelligence - Consistently exercises sound judgment;
• Strategic Thinking - Formulates objectives and priorities and implements plans consistent with the long-term interest of the organization and employees.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

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