About the position
AnewHealth is one of the nation's leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. This position performs highly technical and specialized functions for Capstone. In addition to reviewing & analyzing coding related data, the Client Services Liaison also coordinates the “care” of the client. The primary function of this position is to promote retention, growth, and satisfaction through coordinated communication with the client.
Responsibilities
- Completes quarterly assessment for assigned panel with input from all Capstone departments, including but not limited to coding, auditing, & quality assurance.
- Assesses client needs based on structured assessments every quarter. Coordinates all Capstone services to the clients in the assigned panel via quarterly plans including client visits, conference calls, surveys, etc.
- Develops and strengthens Capstone client relationships in defined assignment panel.
- Works with Capstone project coordinator to ensure successful new client onboarding.
- Monitor client needs and recommend additional services and/or improvements to current services, when appropriate.
- Responsible for ensuring customer satisfaction by resolving issues quickly and creatively.
- Assist the client with navigating and optimizing the use of service offerings and reports.
- Provide and/or coordinate additional training and education to the clients (other than quarterly review) via webinar. Including additional audit reviews, CPS reports, CDI, etc. as identified.
- Provides support and assistance to other Capstone teams in relationship to assigned client panel.
- Develops and maintains master schedules for all clients in assigned client panel.
- Participates in internal collaboration calls regarding clients in assigned client panel.
- Maintains professional license and certifications (where applicable) and attends training conferences/webinars as necessary to keep abreast of latest trends in the field of expertise.
- Performs other functions as required.
- Understands and adheres to The Health Insurance Portability and Accountability Act (HIPAA) requirements.
- Participates as requested in department meetings, client calls, and annual performance evaluation.
- Performs other duties and responsibilities as required.
- Completes miscellaneous projects for Capstone as assigned or requested.
Requirements
- Associate Degree
- Minimum three years of experience providing clinical documentation Improvement training.
- Minimum three years of experience in Hierarchical Condition Categories (HCC) or risk adjustment.
Nice-to-haves
- B.S, B.A., or B.S.N
- Knowledge of or experience in Risk Adjusted contracting or provider groups.
- Experience with Risk Adjustment Analytics strongly preferred.
Benefits
- Medical, dental, and vision coverage effective 1st of the month following date of hire.
- Flexible spending.
- Company-paid life insurance and short-term disability.
- Voluntary benefits.
- 401(k).
- Paid Time Off and paid holidays.
