Healthcare Advocate - Field-Based Position | Honolulu, Hawaii
$72,800 - $130,000 per year
Apply (opens in a new tab)Healthcare Advocate - Field-Based Position | Honolulu, Hawaii
Posted today
SENIORITY
Senior
SALARY
$72,800 - $130,000 per year
About the role
- Act as a trusted advisor and strategic partner to providers and medical groups, assisting in accurate documentation and coding to reflect members' true health status
- Travel independently across the assigned territory (approximately 80% field-based, with occasional overnight travel) to engage providers in Optum tools and programs that enhance quality of care for Medicare Advantage members
- Responsible for gaining participation and deployment of Prospective Programs achieving business goals and metrics
- Utilize data analysis to identify and target providers who would benefit from coding, documentation, and quality training resources
- Establish positive, long-term, consultative relationships with physicians, medical groups, IPA and Hospitals
- Develop and implement comprehensive, provider-specific plans to improve RAF performance, coding specificity, and gap closure
- Manage end-to-end Risk Adjustment and Quality programs, including In-Office Assessment initiatives
- Consult with provider groups on documentation and coding gaps; provide actionable feedback to improve compliance with CMS standards
- 3+ years of healthcare experience with solid knowledge of medical terminology and clinical issues 2+ years of experience with EMR systems
- Experience in a physician office, clinic, hospital, or similar medical setting
- Demonstrated knowledge of ICD-10, Risk Adjustment, HEDIS/Stars programs, and experience supporting gap closure initiatives to improve quality and coding outcomes.
- Demonstrated proficiency in MS Office (Excel, Word, PowerPoint) with ability to manipulate data, create documents, and deliver presentations
- Demonstrated ability to identify automation opportunities and leverage AI to improve productivity and quality
- Reside in the Honolulu, HI area to perform daily field travel requirements
- Able/willing to travel approximately 85% of the time, this is a field-based position that required daily local state travel
- Proof of a valid Driver's License, reliable transportation, and current auto insurance to perform daily local state travel
- Certified Professional Coder (CPC/CPC-A) or equivalent certificationCRC certification 2+ years of clinic/hospital or managed care experience
- Experience in provider network management, physician contracting, healthcare consulting, or Medicare Advantage sales
- Project management experience
- Territory management experience
- Demonstrated knowledge of billing claims submission, and coding software
- Demonstrated advanced proficiency in MS Excel (pivot tables, advanced functions)
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
