It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
The Administrative Coordinator – Risk Adjustment is responsible for day-to-day support in the administration and coordination of all Risk Adjustment projects. Assigned tasks will vary based on the needs of the programs at any given time but will include core tasks such as chart retrieval support, taking of meeting minutes, file organization, program tracking, scheduling meetings, and other related administrative tasks.
Our Investment in You:
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- Full-time remote work
- Competitive salaries
- Excellent benefits
Key Functions/Responsibilities:
- Work with Performance Managers to address and resolve medical record retrieval pends
- Communicate via phone and email with provider offices when needed to address complications in retrieving medical records
- Assist Performance Managers with the implementation, management and administration of retrospective and prospective risk adjustment projects
- Provides document production support and assistance with spreadsheets, presentations, and other documents as needed
- Respond to inquiries and/or research information as needed
- Maintain department files and record-keeping systems
- Provide administrative support for regular meetings this includes the development of agendas, taking meeting minutes and circulating follow-ups as directed
- Identifies opportunities for improvement in administrative workflows and processes Other duties as assigned
Qualifications:
Education:
- Associate’s degree (or equivalent) in Business Administration, Business Management (or related field) plus 3 years related experience
- Will consider equivalent combination of formal education and experience, i.e. HS/GED plus 5 years related experience
Experience:
- At least 3 years of office administrator experience
- 3 or more years of experience in the healthcare industry
Experience Preferred/Desirable:
- Prior health plan experience
- Experience with medical record retrieval
- Preferably comfortable engaging with providers and provider offices
Competencies, Skills, and Attributes:
- Demonstrated ability to navigate healthcare medical record systems for documentation retrieval purposes
- Effective communication skills (oral and written) with ability to successfully collaborate across various functional departments and external constituents such as medical and other service providers
- Must be effectively able to manage competing tasks and prioritize based on requirements and timelines
- A strong working knowledge of Microsoft Office products, including Excel, Word, and PowerPoint
- Detail oriented and high degree of independent judgment
About WellSense
WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances.
- WellSense will require proof of COVID-19 vaccination(s) as a term of employment for all employees. The company may make exceptions to this requirement in certain limited circumstances for religious or medical purposes.
Required Skills
Required Experience
