Principal RAS Partner & Educator

Lumeris

1d•$98,400 - $132,225•Remote

About The Position

The Principal RAS Partner & Educator is responsible for implementing initiatives that improve coding and documentation accuracy for Lumeris clients. This role serves as a subject matter expert and oversees the development and implementation of advanced Risk Adjustment strategies. It supports short- and long-term strategy, program planning and implementation, patient campaigns, outreach tactics, educational programs, and key performance measurement activities. The position collaborates with internal teams to deliver standardized Clinical Documentation Improvement and Coding Education approaches for clients. It develops and delivers disease-specific Risk Adjustment provider training that addresses both clinical and coding/documentation needs. The role works with providers and clinical and administrative staff, creates educational content based on current official guidance, and collaborates across teams to achieve client and project goals.

Requirements

Bachelor’s degree in health administration, business administration, or a related field, or equivalent.
At least 8 years of experience in healthcare, a health plan, or a health system, including payer, hospital, Medicaid/Medicare, provider, or managed-care environments, or the knowledge, skills, and abilities to succeed in the role.
Knowledge of Risk Adjustment payment methodologies and understanding of CMS HCC, HHS, and Medicaid.
Excellent presentation skills, including the ability to deliver educational presentations in large settings or one-on-one, in varied formats.
Track record of creating Coding Documentation Improvement (CDI) collateral, presentations, and other educational tools.
Strong critical-thinking and data skills, with the ability to identify, develop, communicate, and implement process improvements and strategic initiatives and positively impact them.
Ability to create results, prioritize workload, and respond to changing demands and timelines in a dynamic environment.
Proficiency in Microsoft Office programs, including Word, PowerPoint, Excel, and Outlook.
Excellent interpersonal and communication skills, with the ability to collaborate across professional levels internally and externally.
Authorization to work in the United States; visa sponsorship is not available for this role.

Responsibilities

Own and manage comprehensive Risk Adjustment strategies for clients by developing operating plans and implementing education programs for internal and external clients.
Develop and foster effective internal and external strategic relationships through timely communication.
Synthesize and organize data, present information, and provide executive summaries of material.
Support production of standardized coding training and educational content using industry-standard references and current official regulatory and legislative guidance.
Deliver provider training and education in formats suited to client needs and internal initiatives, including classroom-style sessions, webinars, audio conferences, and written content.
Interact regularly with providers and clinical and administrative staff to increase understanding of Clinical Documentation Improvement program goals and support Risk Adjustment strategies and initiatives.
Collaborate with internal teams to ensure client- and project-specific goals are met.
Maintain accountability for outstanding customer service to internal and external customers, including timely responses.
Perform other duties as assigned.

Benefits

Medical, vision, and dental plans
Tax-advantage savings accounts (FSA and HSA)
Life insurance and disability insurance
Paid time off, sick time, paid leave, volunteer days, and wellness days
Employee Assistance Program
401(k) with company match
Employee Resource Groups
Employee discount program
Learning and development opportunities
Some roles may qualify for performance-based incentives and/or equity, depending on the position.