Lumeris

Lumeris

Principal RAS Partner & Educator

Remote, USA · Principal · Full-time

No sponsorship$98k-$132kDetected 1 day ago
ExcelCustomer SupportCommunicationCritical ThinkingPublic SpeakingMicrosoft Office

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odds of building a lasting career here

47Sponsors, lottery-bound
Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds (Level II)66
Fits your clock70

Sponsors, but it's cap-subject — you still face the weighted lottery (~30% per draw at Level II). Good if you win; have a cap-exempt backup on your list.

Lottery odds assume a STEM candidate.

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About the role

  • Synthesizes and organizes data, presents information, and provides executive summary of material.
  • Responsible for implementation of initiatives to improving coding and documentation accuracy for Lumeris clients.
  • Acts as a subject matter expert and oversees the development and facilitation of the implementation of new and existing Risk Adjustment strategies at an advanced level.

Responsibilities

  • This position will develop, create and provide disease-specific Risk Adjustment provider training that balances both clinical and coding/documentation focuses.
  • Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person.
  • Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.

Requirements

  • Knowledge of Risk Adjustment Payment methodologies and understanding of the CMS HCC, HHS, and Medicaid
  • Proficiency in Microsoft Office Programs including Word, PowerPoint, Excel, and Outlook
  • The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required.
  • Credit Check Required:
  • All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine.
  • If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.
  • Bachelor's degree in health administration, business administration or related field or equivalent
  • 8+ years of experience within Healthcare, Health plan, or Health System required, including payer, hospital, Medicaid/Medicare, provider environment or managed care or the knowledge, skills, and abilities to succeed in the role
  • Strong aptitude for critical thinking and data skills with the proven ability to identify, develop, communicate, implement, and impact process improvements and strategic initiatives
  • Proven ability to create results, prioritize workload, and respond to changing demands/timelines in a dynamic environment
  • Excellent interpersonal and communication skills with the ability to collaborate and work through all professional levels, internally and externally
  • Working Conditions
  • While performing the duties of this job, the employee works in normal office working conditions.
  • #LI-Remote
  • Pay Transparency:
  • Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.

Skills

  • Excellent presentation skills, comfortably delivering educational presentations in large settings or 1:1, regardless of the format
  • Track record of creating Coding Documentation Improvement (CDI) collateral, presentations and other educational tools

Compensation

  • Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role.
  • In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position.
  • $98,400.00-$132,225.00

Benefits

  • Medical, Vision and Dental Plans
  • Tax-Advantage Savings Accounts (FSA & HSA)
  • Life Insurance and Disability Insurance
  • Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
  • Learning and Development Opportunities

Company info

  • Your Future is our Future At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members.
  • That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry.
  • We're excited to consider every qualified candidate authorized to work in the United States, although we are unable to sponsor visas for this role at this time.
  • Maintains accountability for outstanding customer service to all external and internal customers including timely responses.
  • These rewards are based on a combination of company performance and individual achievements.
  • At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members.

Equal opportunity

  • Lumeris is an EEO/AA employer M/F/V/D.

Visa & Work Authorization

  • We're excited to consider every qualified candidate authorized to work in the United States, although we are unable to sponsor visas for this role at this time.
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This listing is sourced directly from Lumeris's careers page and normalized into a canonical job model.