At the intersection of health plans and providers, Apixio is creating a leading Connected Care platform to minimize reimbursement inaccuracies and high-quality patient care so they can thrive as the industry moves toward value-based reimbursement models.
The combination brings together healthcare expertise, AI/machine learning technology and data-driven analytics solutions to deliver innovative solutions and value to our customers and the healthcare ecosystem. We aim to accelerate the shift toward alternative payment models, while enhancing efficiency and supporting better patient outcomes.
The Vendor Risk Adjustment Operations Coordinator will coordinate initiatives to improve the accuracy and productivity of Apixio's clinical coding operations for risk adjustment and quality. This role will assist in managing relationships with third party coding vendors as needed and take responsibility for improving risk adjustment coding processes.
- Lead the Apixio relationship with the coding vendors to ensure that Apixio receives the best possible result delivery, service and support.
- Manage coordination, tracking and reporting of all things related to coding projects.
- Lead (coordinate, motivate and facilitate) the efforts of associated project resources working closely with internal teams and our external vendor partners
- Ensure smooth communication channels between internal stakeholders via regular reporting and info sharing (daily/weekly/quarterly reports, meetings, status updates, etc.).
- Own Coding Vendor Operations project management processes, tools, reference materials and cross functional usage.
- Monitor coding project status and success ongoing.
- Identify, analyze and resolve problems as they arise; coordinating escalation and resolution with the appropriate stakeholders.
- Prepare weekly status reports and presentations for weekly vendor meetings
- Identify, define and execute process improvements in line with department needs and organizational goals.
- Deep understanding of business requirements, deliverables, processes, and technologies.
- Effectively support diverse operational teams
- Must possess strong analytical and troubleshooting skills
- Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement
- Strong communication skills to effectively interact with all levels of the organization, business unit leaders, and staff in a tactful and positive manner
- Exceptional interpersonal skills, proven success in complex and ambiguous environments
- Ability to work independently, with high productivity, and regularly meet deadlines
- Prefer CMS and HHS HCC/Risk Adjustment experience
- Prefer Slack, Salesforce, Looker and Wrike (or other messaging, CRM, reporting and project management tools) experience
- Strong knowledge of the Apixio Risk Adjustment solutions platform (how coding projects are started, monitored and completed)
- Experience in handling coding resource management (coding vendor user account management, coding vendor coordination, coding project user assignment, monitoring coder performance)
- Collaborative relationships with operations team members (Coding Managers, Customer Success Managers, Analytics, Operations Support)
- Amicable and productive vendor relations through regular weekly online meetings
- Strong knowledge in coding software/tools (Salesforce, Slack, Looker, Wrike, Trakstar, Jupyter, etc.)
- Familiarity with other Apixio solutions (e.g. Nexus)
The salary range below is for Base Salary. Total compensation also includes benefits and variable compensation. Compensation will be determined based on several factors including, but not limited to, skill set, years of experience, and the employee’s geographic location.
Base Compensation
$65,000—$95,000 USD
- Meaningful work to advance healthcare
- Competitive compensation
- Exceptional benefits, including medical, dental and vision, FSA
- 401k with company matching up to 4%
- Generous vacation policy
- Remote-first & hybrid work philosophies
- A hybrid work schedule (2 days in office & 3 days work from home) ()
- Modern open office in beautiful San Mateo, CA; Los Angeles, CA; San Diego, CA; Austin, TX and Dallas, TX
- Subsidized gym membership
- Catered, free lunches
- Parties, picnics, and wine-downs
- Free parking
We take your privacy very seriously. Please review our privacy policy to see exactly how we protect your information here
- Recruiters and staffing agencies should not contact Apixio through this page.
- We require that all recruiters and staffing agencies have a fully executed, formal written agreement on file
- Apixio receipt or acceptance of an unsolicited resume submitted by a vendor organization to this website or employee does not constitute an actual or implied contract between Apixio and such organization and will be considered unsolicited and Apixio will not be responsible for related fees
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What We Do
Apixio is the Connected Care Platform at the intersection of health plans and providers. Our AI technology and flexible services power risk adjustment, payment integrity, and care delivery programs using centralized patient health profiles, data-driven insights, and seamless workflows. With Apixio, healthcare organizations can streamline operations, ensure accurate payment, and uncover critical patient insights—building a resilient foundation for success as the industry moves toward value-based reimbursement models.
At Apixio, we strive for excellence in everything we do and understand that success is not built overnight but is the collective effort of smart people asking the right questions, taking calculated risks, and delivering innovative industry-leading solutions.
Apixion’s are motivated, resourceful, intelligent, and scrappy trouble-shooters who work hard, play hard, and are committed to making an impact in our industry and in our communities. Our team is dedicated to hiring quality candidates of diverse backgrounds who can share their ideas and experience to create a holistic client and employee experience that is respectful of our company mission, and reflective of the individual talents that each Apixion brings with them. With Apixio you can expect the best because we are passionate and committed to delivering the best. We celebrate each success, big or small, and aim to help each Apixion reach their full potential.
At Apixio, our culture is one that encourages diversity and looks to expand it constantly. Our employees make our inclusive culture what it is and we provide the tools and resources they need to feel empowered and supported. Apixion’s don’t just talk the talk, they walk the walk with our employee ran groups that focus on diversity and inclusion, community give back, and professional and personal growth.
Why Work With Us
Smart people who are passionate about making an impact yet we leave our egos at the door
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