[Hiring] Supervisor, BOI Education @Millennium Physician Group

Role Description

Under the direction of the Sr. Manager, Risk Adjustment, the Burden of Illness Education Supervisor is responsible for providing first-line supervision for the Burden of Illness team of educators. Supervisor responsibilities include but are not limited to:

• Daily supervision and monitoring of quality and productivity performance.
• Interviewing, hiring, and any necessary discipline of staff.
• Participation in process improvement projects and supporting the work needed to meet department and organizational wide goals.

The position will oversee and coordinate all aspects of provider and medical staff education provided by each respective regional educator. S/he will plan, implement, and evaluate HCC education through a variety of mediums including:

• Direct, interactive learning sessions individually or in group settings.
• Written guides and protocols.
• Audits, etc.

S/he will monitor various audits and reports to determine areas for improvement and ensure each region receives the assistance and direction deemed appropriate. S/he will communicate with department and site management ensuring that all providers and staff are performing to Millennium’s standards and fulfilling established goals.

The position requires a high degree of collaboration with Medical Directors, Value-Based Operational Leadership, and other members of the Burden of Illness department such as concurrent and retrospective coding audit teams and Quality Assurance teams to support shared initiatives.

Qualifications

• High school diploma or GED equivalent.
• Minimum 3 years’ experience working in payor or healthcare provider organization, specifically with roles in value-based care/risk adjustment.
• Minimum 1 year experience in a lead/senior role.
• Certified Risk Adjustment Coder (CRC).
• Additional acceptable credentials include: Certified Professional Coder (CPC) or other AAPC or AHIMA approved coding credential.
• 5+ years of experience working in healthcare provider organization, specifically with roles in value-based care/risk adjustment (preferred).
• 3+ years experience presenting/educating healthcare professionals (preferred).

Requirements

• Strong communication skills; able to interact with physicians and other clinicians on a professional level.
• In-depth knowledge of ICD-10-CM diagnostic coding in the Medicare Risk Adjustment environment.
• In-depth knowledge of NCQA technical specifications, value sets, and clinical standards of care.
• Strong provider organization root cause analysis of provider office workflows and processes.
• Must have excellent time management skills, be highly organized, self-motivated.
• Excellent customer service, problem solving skills and attention to detail.
• The ability to follow through timely on tasks is essential.
• Possess excellent written, verbal, and interpersonal communication skills.
• Must possess initiative; tact; poise; neat personal appearance; physical condition commensurate with the requirements of the position.
• Project management of multiple initiatives with the ability to prioritize and meet deadlines.

Benefits

• Provides daily supervision of education staff and feedback to the Sr. Manager, Risk Adjustment on performance.
• Leads hiring, interviewing, onboarding, and discipline of staff.
• Provides ongoing feedback to staff on areas of success and improvement opportunities.
• Ensures compliance with official guidelines, policies, and standard procedures.
• Counsels staff on actions required to meet minimum performance requirements.
• Prepares staffing schedules for adequate coverage.
• Monitors provider education based on audits and departmental metrics.
• Plans, develops, and designs HCC education and training programs.
• Evaluates education visit notes and revises curriculum materials as appropriate.
• Coordinates with MRA Managers to meet benchmarks.
• Provides clear communication to varying audiences.
• Executes process improvement projects.
• Stays current on coding and documentation guideline changes.
• Serves as a point of contact for Risk Adjustment expertise.
• Supports the MRA department with emphasis on excellent service.
• Adaptable to shifting priorities and demonstrates willingness to meet department needs.
• Understands and complies with confidentiality policies and procedures.
• Demonstrates excellent time management and participates in required meetings.
• Promotes Millennium Physician Group’s values.
• Performs other job-related duties as assigned.

Supervisory Responsibilities

Directly supervises assigned employees in the MRA department. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include:

• Interviewing, hiring, and training employees.
• Planning, assigning, and directing work.
• Appraising performance.
• Rewarding and disciplining employees.
• Addressing complaints and resolving problems.