The Director of Risk Programs is responsible for implementing and managing new and existing Medicare and Medicaid programs. The position is responsible for supporting, and driving revenue enhancement as well as monitoring financial performance and providing analytic support for all products offered. This position will be responsible for revenue management, risk sharing development, risk analysis, financial statement analysis, participation in the benefit design, and Medicare and Medicaid reports and reconciliations. This position will be responsible for supporting risk adjustment development and implementation for Medicare and Medicaid. This position will also be responsible for implementing HCC and CDPS risk adjustment models for Medicare and Medicaid, respectively.
MINIMUM EDUCATION REQUIREMENTS
SPECIAL KNOWLEDGE AND/OR SKILLS
Virginia Premier Health Plan, Inc. is a managed care organization which began as a full-service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs. Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia.
We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant-At-Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility.
All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE
Our mission is to inspire healthy living within the communities we serve!