Managerial Consultant VI, Medicare Risk Adjustment Strategy

Location: Richmond

Overview:
The Managerial Consulant VI role reports to the VP of Retro Chart Operations in reporting and analyzing retrospective coding and retrieval programs. The incumbent will be responsible for delivering analytic insights related to KPIs and trend analyses to support reporting and early intervention. Additionally, the role includes supporting program reporting to all levels of management on program status within Medicare and particularly in insurance payers and risk adjustment/retrospective programs.

Job Summary:

Serves as an expert consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or complex work streams. Drives business strategy, organizational alignment, and prioritization of business initiatives. Leads the work of project/program team members by requesting and coordinating internal and/or external resources. Serves as a lead expert in the development and implementation of business initiatives, systems, and/or processes to a desired future state.

Manages complex, highly visible or specialized cross-functional projects/programs, and serves as a lead expert in the proactive monitoring and identification of client, project, program, and/or business risks. Designs, leads, and serves as a lead expert for change management plans associated with business initiatives. Serves as a lead expert in the assessment of strategic performance metrics to support business initiatives. Participates in vendor management as required.

Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.

Essential Responsibilities:

* Promotes learning in others by communicating information and providing advice to drive projects forward; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides actionable feedback to others, including upward feedback to leadership; influences, mentors, and coaches team members. Practices self-leadership; creates, evaluates, and responds to the strengths and weaknesses of self and unit or team members. Leads the adaptation to competing demands and new responsibilities;

adapts to and learns from change, challenges, and feedback. Fosters open dialogue amongst team members.

* Drives the execution of multiple work streams by identifying member and operational needs; translates business strategy into actionable business requirements; develops and updates new procedures and policies. Gains cross-functional support for objectives and priorities; determines and carries out processes and methodologies; solves highly complex issues; escalates and resolves issues as appropriate; sets standards and measures progress. Develops work plans to meet business priorities and deadlines;

coordinates, obtains and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; influences the completion of project tasks by others.

* Serves as an expert consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or complex work streams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and senior executive management; partnering with stakeholders to develop goals and set the prioritization of deliverables;

leading the development of a menu of solutions for complex, competing, or ambiguous requests; driving discussions regarding the involvement of business processes (e.g. change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating and resolving tough issues with stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to senior executive level audiences.

* Drives business strategy, organizational alignment, and prioritization of business initiatives by working closely with senior executives to facilitate the development, refinement, and articulation of the business strategy; defining, developing, and evaluating performance metrics, standards, and methods to establish business success; leading the development of strategic roadmaps for solution development and deployment; collaborating with senior cross-functional stakeholders, often with competing/conflicting objectives to ensure cohesive and reachable metrics;

refining strategic plans and performance metrics as appropriate; and managing complex initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives.

* Leads the work of project/program team members by requesting and coordinating internal and/ or external resources based on the…