MRA Adjustment Analyst

Overview

People. Passion. Purpose.
At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance. If you are passionate about your work; eager to have fun;

and motivated to be part of a fast-growing organization, then you should consider joining our team.

Overall Purpose
The Market MRA Analyst works closely with vendor partners, health plans & designated market team to build member level insights to inform strategic market interventions. This position requires someone who is adept at problem solving, seeing the big picture and the ability to communicate effectively with internal & external constituents.

• Dashboard Development & Maintenance
  • Work with vendors and internal teams on ensuring accuracy of data being presented
  • Ensure continued evolution of dashboard development both externally and internally
  • Continuously monitor dashboards for assigned market for insights to performance improvement
• Strategic Initiative Guidance
  • Respond to requests for analysis and provide analytic support to the Market Leaders
  • Work with vendors and markets to approve and manage target lists for Chart Reviews
  • Monitor the performance of the Prospective program to identify areas for improvement
  • Work with Market teams and MRA leadership to identify strategies to implement In Home Assessment initiatives
  • Identify provider education opportunities based on coding results, queries, prospective performance and/or prevalence

• Proficiency in SQL
• Strong communication and strong written skills as well as proficiency with Microsoft Power Point
• Working knowledge of the provider-based healthcare industry, claims processing, provider billing or Risk Adjustment or Medicare Advantage strongly preferred
• Self-motivated, creative problem solver who can work independently, see the bigger picture and collaborate through strong communication and interpersonal skills
• Strong project management experience and ability to handle multiple projects in a fast-paced environment

• At least 5 years previous work experience within risk adjustment

• Bachelor’s degree from an accredited institution

• Periodic travel to Corporate Headquarters
• Ad hoc travel to Markets or other partner locations