Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.
By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.
At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.
If this sounds like you, read on!
This position is primarily responsible for implementation and post-implementation program management of HHS Marketplace (HHS) program. This entails managing Finance, Reporting, and Analysis program implementation activities. Additionally, the HHS Marketplace Manager is responsible for managing the verification and analysis of financial information, quantitative analysis of various types of financial data, and leading all internal and external reporting for the program. This position will require expertise in the analysis of disparate data sources and development of data presentations to multiple operational areas within the company. This position will lead and participate in the analysis of business opportunities for new and existing lines of business.
This role is also responsible for developing an extensive expertise in the HHS Risk Adjustment area: The manager will lead implementation of Prospective and Retrospective Assessments as well as associated vendor relationships. The manager will oversee building the processes that generate EDGE Server submissions from Annual Wellness Visits and Chart Reviews. Specific to the Chart Review process, the manager will interface with vendor to develop the extracts, facilitate transmission of extracts to vendor and coordinate analysis on chart yield.
SPECIAL KNOWLEDGE AND/OR SKILLS
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!