Risk Adjustment Educator, Provider Enablement (Remote)

Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.

Our vision is care that enables everyone to achieve their best health. So, we’re creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives – taking full financial accountability for clinical outcomes and the total cost of care across rural counties.

As a public benefit corporation and Certified B Corp™, Homeward’s mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.

Homeward is co-founded by a leadership team that defined and delivered Livongo’s products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.

The Opportunity

We’re looking for an experienced Risk Adjustment Educator to join our growing team and support provider practices across Michigan. As an In-Market Educator, you’ll deliver tailored documentation and coding education to contracted providers participating in Homeward’s External Risk Adjustment Enablement Program. Your goal: ensure providers understand and apply CMS risk adjustment documentation best practices to accurately reflect the clinical complexity of the patients they serve.

You will work closely with our coding team, practice partners, and payer collaborators; this role is ideal for someone who thrives at the intersection of clinical detail, provider engagement, and healthcare performance improvement.

What You'll Do

• Provider Education & Coaching
• Deliver tailored education sessions to external providers based on chart review findings, scorecard data, and payer feedback.
• Conduct one-on-one coaching, small group huddles, and live or virtual trainings.
• Translate CMS-HCC and risk adjustment coding requirements into practical, provider-friendly documentation guidance.
  
  
• Documentation Review & Feedback
• Support analysis of encounter documentation and coding quality to identify gaps or improvement opportunities.
• Partner with coders and the Provider Enablement Senior Manager to develop actionable feedback for providers.
• Reinforce documentation techniques aligned with Diagnosis/Status/Plan (DSP) methodology.
  
  
• Payer-Aligned Program Execution
• Help providers understand and meet requirements for plan-specific programs.
• Guide providers in addressing chronic condition gaps, applying documentation best practices, and capturing diagnosis accuracy.
  
  
• Practice Relationship Management
• Build strong, trusting relationships with providers and practice administrators.
• Serve as a local point of contact to triage questions related to risk adjustment, documentation, and program performance.
• Travel to practices across Michigan, supporting on-site or hybrid models depending on need.
  
  
• Continuous Improvement
• Document key learnings and feedback from the field to inform future education tools and strategies.
• Contribute to development of new content (e.g., tip sheets, micro-learnings, webinar content) in partnership with coding and product teams.

What You Bring

• Ability to travel throughout the state of Michigan approximately 50% of the time
• 3+ years of experience in provider education, clinical documentation improvement (CDI), or risk adjustment coding.
• Certified Risk Adjustment Coder (CRC), CDIP, CCS, or related credential strongly preferred.
• Strong working knowledge of Medicare Advantage, CMS-HCC guidelines, and ICD-10-CM coding.
• Experience educating clinicians or clinical teams with empathy, clarity, and results orientation.
• Ability to analyze clinical documentation and deliver structured, constructive feedback.
• Strong interpersonal skills and experience building provider-facing relationships.
• Comfortable navigating EMRs and clinical documentation systems.
  
  

Bonus Points

• Experience supporting external networks or providers under value-based contracts.
• Familiarity with BCBSM PEC or other Medicare Advantage payer incentive programs.
• Experience with EMR-integrated documentation templates or coding tools.
• Experience as a clinical instructor, HIM educator, or outpatient CDI specialist.
  
  

What Shapes Our Company

• Deep commitment to one another, the people and communities we serve, and to care that enables everyone to achieve their best health
• Compassion and empathy
• Curiosity and an eagerness to listen
• Drive to deliver high-quality experiences, clinical care, and cost-effectiveness
• Strong focus on sustainability and scalability of our services
• Nurturing a diverse workforce with a wide range of backgrounds, experiences, and perspectives
• Taking our mission and business seriously - while having fun as we build

Benefits

• Competitive salary and equity grant
• Unlimited Paid Time Off
• Comprehensive medical, dental, and vision benefits, with 100% of employee premiums covered
• Company-sponsored 401k plan
• Travel expense reimbursement and mileage stipend
• Flexible working arrangements

The base salary range for this position is $55,000 - $78,000 annually. Compensation may vary outside of this range depending on a number of factors, including a candidate’s qualifications, skills, location, competencies and experience. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work at Homeward Health. This role is eligible for an annual bonus, stock options, as well as a comprehensive benefits package.

At Homeward, a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you have yet to gain experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.
Homeward is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

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