Manager, HCC Wellness
: Job Details :

Wellness Program / HCC manager under the direct supervision of the Director will provide oversight and coordination of care for senior members within the Wellness Program. Manager oversee & coordinate outreach, give direction to Wellness staff of activities required to schedule annual wellness exams for designated seniors. Manager will report to senior leadership productivity data regularly, will track statistical metrics and develop a reporting platform. The Wellness Program/ HCC manager will oversee Wellness teams in North Hollywood and West Covina.

Essential Duties and Responsibilities include the following:

• Manage and oversee the outreach and scheduling of annual wellness visits for IPA and staff model Medicare Advantage members to achieve target productivity goals
• Establish relationships with select IPA provider offices to coordinate scheduling of IPA annual wellness visits performed by employed wellness providers
• Recruit, onboard, and train wellness staff
• Conduct regular team huddles to monitor progress against performance targets
• Monitor and generate productivity reports, wellness visit metrics, wellness visit completion rates, screening test completion rates, and other risk adjustment reports for all staff model offices
• Collaborate with internal stakeholders in the development of marketing collateral and other patient-facing material for the wellness program
• Oversee coordination of rideshares for wellness visits
• Create and update workflows, onboarding/training, and policies and procedures
• Perform medical record audits to ensure that all pertinent ICD-10 codes are captured and that documentation supports such diagnosis codes
• Present risk adjustment performance reports at each site's monthly provider meeting
• Assist in developing outreach scripts.
• All other duties as directed by management.

Education and experiene requirements:

• 3+ years of experience in overseeing Medicare risk adjustment programs in a medical group/IPA setting
• Experience using EMR
• Experience using Microsoft Office, Excel, Word, Power Point and Adobe
• High School Diploma required Associates degree or Bachelor's Degree preferred.
• Knowledge of HMO, Knowledge of CPT, HCPCS, Hospital Revenue, and ICD-9 coding.
• Strong knowledge of Microsoft Windows environment such as Word and Excel.
• Self-starter, willing to take on multiple tasks.
• Strong analytical skills.
• Must be able to review and interpret health plan benefits and provider contracts.
• Ability to communicate effectively orally and written typing 35 words per minute.
• Strong organizational skills with emphasis on prioritizing and attention to details.

The pay range for this position at commencement of employment is expected to be $80,000 /yr to $90,000/yr however, base pay offered may vary depending on multiple individualized factors, including market location, job related knowledge, licensure, skills, and experience. The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physician office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)
• Behavioral Health Services

Savings and Retirement:

• 401k Retirement Savings Plan
• Income Protection Insurance

Other Benefits:

• Vacation Time
• Company celebrations
• Employee Assistance Program
• Employee Referral Bonus
• Tuition Reimbursement
• License Renewal CEU Cost Reimbursement Program
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.