Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME.

Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

You Belong at Avera: Competitive pay, front-loaded PTO and options for free health insurance, various shifts to fit your lifestyle and opportunities for career growth.

Join Avera as a Quality & Risk Adjustment Specialist and join a mission-driven organization with a great company culture, and team environment.

Position Highlights:

• Paid Time Off (PTO) available on Day 1!
• Options for Free Health Insurance!
• Positive Work Environment: Be part of an organization where we practice the mission in our daily operations.
• Career Growth opportunities!

Job Summary

The Quality and Risk Adjustment Specialist will be responsible for activities focused around Risk Adjustment (RA) initiatives and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director of Quality and Risk Services, Manager of Risk Adjustment, Manager of Quality, Quality Coordinator – HEDIS, coder(s), claims staff, and primary care & specialty care providers to ensure that proper clinical documentation. The QRA Specialist will be responsible for ensuring that medical records for identified members are retrieved, reviewed and documented appropriately for all Quality and RA initiatives.

Education and/or Experience

• Associate’s degree preferred; combination of education and experience accepted
• Minimum of five years professional experience in insurance or managed care industry.

Work Schedule

• Monday-Friday, 8:00am-5:00pm; 80hrs/2wks

Pay

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

• $20.50 - $26.00 per hour

What Makes Avera Special?