Posted in Other 2 days ago.
Location: Los Angeles, California
Location: REMOTE
Salary: $250,000.00 USD Annually - $280,000.00 USD Annually
Description: Our high-profile client is currently seeking a fulltime, 100% remote, Medical Director to join their team! This Position is an amazing opportunity for any Physician who has a passion for not only top tier patient care but also has an affinity in the world of medical coding/risk adjustment. Below, you will find the full job description for your review. If qualified and interested, please send a copy of your CV directly to Josh Nachman at jnachman@judge.com for immediate consideration. Thank you, and I look forward to connecting!
*Fully Remote, but candidates MUST sit on either EST or CST*
Overview:
We are seeking a Medical Director with extensive experience in risk adjustment to play a pivotal role in our organization. This Senior-level position is responsible for strategic leadership, oversight, and direction; reporting directly to CCO (Chief Clinical Officer).
Responsible for designing and supporting the execution of a transition strategy that moves the organization to value-based care (managing populations). The Medical Director will develop relationships to achieve results, promote standardization and drive innovation by developing workflow and process mapping to design sustainable models.
Additionally, the director will create the process, structure, policies, and teams necessary to succeed in a value-based model while creating workflow design and role responsibilities to optimize clinical outcomes.
Responsibilities:
Lead Risk Adjustment Initiatives: Oversee and guide the development and implementation of risk adjustment strategies to ensure accurate coding and optimal financial performance.
Lead and Expand Provider Education Team: Spearhead the growth and management of the Provider Education team, overseeing the development and upkeep of accredited CME courses to meet evolving industry standards.
Support Leadership: Provide leadership with reports and analysis on project progress and address any obstacles.
Medical Expertise: Provide clinical expertise and insights to support the development of our healthcare IT products and solutions, focusing on enhancing risk adjustment capabilities.
Data Analysis: Analyze patient data and medical records to ensure precise risk adjustment coding and compliance with regulatory standards.
Cross-Functional Collaboration: Work closely with Quality Improvement (QI) and Clinical Operations teams, engaging with clinical coders, registered nurses, and mid-level practitioners on targeted projects to ensure seamless integration of initiatives.
Enhance our Platform: Communicate and collaborate effectively with product managers and IT developers to improve the platform and business systems.
Training and Education: Develop and deliver training programs for internal teams and clients on best practices in risk adjustment and coding accuracy.
Quality Improvement: Lead initiatives to improve data quality, coding accuracy, and overall risk adjustment processes within the organization.
Regulatory Compliance: Oversee regulatory changes and ensure our risk adjustment practices comply with industry standards and guidelines.
Value-Based Contract Optimization: Develop and execute a holistic strategy to optimize performance in value-based contracts, offering clinical insights to prioritize activities and refine implementation approaches.
Stakeholder Engagement: Support internal and external communication efforts on value-based care initiatives, effectively engaging both clinical and non-clinical stakeholders to foster understanding and alignment.
Collaborate with Medical Directors: Establish forums for collaboration with hospital and clinic-based medical directors to identify and scale successful value-based care programs.
Communicate Value-Based Care Initiatives: Support internal and external communication efforts to inform both clinical and non-clinical stakeholders about value-based care initiatives.
Requirements
Volcom
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Oxford Global Resources
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Schneider Electric USA, Inc
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