Experienced Telecommute Healthcare Advocate and Field-Based Consultant for Medicare Advantage Members and Providers

Introduction to Workwarp and the Role

Workwarp, a leading healthcare solutions company, is seeking an experienced and skilled Telecommute Healthcare Advocate to join our team. As a Field-Based Consultant, you will play a critical role in improving the quality of care for Medicare Advantage Members by working closely with healthcare providers across assigned territories. This is an exceptional opportunity for a motivated and results-driven professional to make a meaningful impact in the healthcare industry while enjoying the flexibility of a remote work arrangement.

Primary Responsibilities

In this dynamic and challenging role, you will be responsible for:

• Traveling across assigned territories to meet with healthcare providers, including physicians, medical groups, IPAs, and hospitals, to discuss Optum tools and programs focused on enhancing the quality of care for Medicare Advantage Members
• Utilizing data analysis to identify and target providers who would benefit from coding, documentation, and quality training and resources, with the goal of improving their RAF performance and coding specificity
• Establishing positive, long-term, consultative relationships with healthcare providers and developing comprehensive, provider-specific plans to address gaps in documentation and coding
• Managing end-to-end Risk and Quality Client Programs, including the Healthcare Patient Assessment Form, to ensure accurate payments and compliance with CMS standards
• Providing feedback on EMR/EHR systems and consulting with provider groups on documentation and coding best practices
• Partnering with a multi-disciplinary team to implement prospective programs and assisting providers in understanding Medicare quality programs and CMS-HCC Risk Adjustment payment methodologies
• Developing and presenting coding presentations and training to large and small groups of clinicians, practice managers, and certified coders, as well as creating diagnosis coding tools and providing ICD-10 HCC coding training to providers and staff
• Collaborating with internal and external personnel on Risk Adjustment and Quality education efforts and providing measurable, actionable solutions to providers to improve documentation and coding practices

Essential Qualifications

To be successful in this role, you will need:

• A Bachelor's degree in Healthcare or a relevant field, or equivalent work experience
• Knowledge of ICD-10, HEDIS, and Stars, as well as proficiency in MS Office, including Excel, PowerPoint, and Word
• Experience working with common office software, coding software, EMR, and abstracting systems
• Full COVID-19 vaccination, as well as compliance with state-mandated COVID-19 booster doses, if applicable
• Excellent communication, interpersonal, and presentation skills, with the ability to work effectively with healthcare providers, staff, and internal teams

Preferred Qualifications

While not required, the following qualifications are preferred:

• Previous experience in a similar role, such as a Healthcare Consultant or Risk Adjustment Specialist
• Strong understanding of Medicare Advantage programs, CMS regulations, and healthcare quality metrics
• Experience with data analysis and interpretation, as well as the ability to identify trends and opportunities for improvement
• Excellent project management skills, with the ability to prioritize tasks, manage multiple projects, and meet deadlines

Skills and Competencies

To excel in this role, you will need to possess the following skills and competencies:

• Strong analytical and problem-solving skills, with the ability to interpret complex data and develop actionable solutions
• Excellent communication and interpersonal skills, with the ability to build strong relationships with healthcare providers and internal teams
• Strong presentation and training skills, with the ability to develop and deliver engaging presentations to large and small groups
• Ability to work independently, with minimal supervision, and manage multiple projects and priorities
• Strong attention to detail, with the ability to maintain accurate records and ensure compliance with CMS regulations

Career Growth Opportunities and Learning Benefits

At Workwarp, we are committed to the growth and development of our employees. As a Telecommute Healthcare Advocate, you will have access to:

• Comprehensive training and onboarding programs to ensure your success in the role
• Ongoing professional development opportunities, including workshops, webinars, and conferences
• Mentorship and coaching from experienced professionals in the field
• Opportunities for advancement and career growth within the company

Work Environment and Company Culture

At Workwarp, we pride ourselves on our dynamic and supportive work environment. As a remote employee, you will be part of a virtual team that values collaboration, innovation, and creativity. We offer a flexible and autonomous work arrangement, with the opportunity to work from home and manage your own schedule.

Compensation, Perks, and Benefits

We offer a competitive salary and benefits package, including:

• Comprehensive health, dental, and vision insurance
• 401(k) matching and retirement savings plan
• Paid time off and holidays
• Opportunities for professional development and growth

Conclusion

If you are a motivated and results-driven professional with a passion for healthcare and a desire to make a meaningful impact, we encourage you to apply for this exciting opportunity. As a Telecommute Healthcare Advocate, you will be part of a dynamic team that is dedicated to improving the quality of care for Medicare Advantage Members. With a competitive salary, comprehensive benefits, and opportunities for growth and development, this is an exceptional opportunity to advance your career and make a difference in the healthcare industry.

Don't miss out on this opportunity to join our team and take your career to the next level. Apply now and take the first step towards a rewarding and challenging career as a Telecommute Healthcare Advocate.