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Conservation Colorado
, CO, United States
Conservation Colorado is seeking a Vice President of Programs based in Denver. The VP of Programs oversees our community engagement, government affairs, and political teams to build and leverage the organization’s political power. The VP is responsible for delivering programmatic wins to protect Colorado’s environment and communities. This position
Job Source: Conservation ColoradoRisk & Insurance Management Society Inc
Greenwood Village, CO, United States
JOB SUMMARY: The Associate Vice President of Risk Management is responsible for the development and execution of risk management strategies supporting the company’s aviation and ground ambulance transportation programs. Risk financing strategies include the use of the general property and casualty insurance markets as well as the company’s Cayman-b
Job Source: Risk & Insurance Management Society IncConfidential
Denver, CO, United States
Vice President of Quality & Risk Adjustment About the Company Well-established healthcare services company Industry Hospital & Health Care Type Privately Held About the Role The Company is in search of a Vice President of Quality and Risk Adjustment with a strong background in driving value-based healthcare initiatives, enhancing patient outcomes
Job Source: ConfidentialConfidential
Denver, CO, United States
Vice President of Quality & Risk Adjustment About the Company Well-established healthcare organization Industry Hospital & Health Care Type Privately Held About the Role The Company is seeking a Vice President of Quality and Risk Adjustment with a strong background in driving value-based healthcare initiatives, improving patient outcomes, and optim
Job Source: ConfidentialDenver Rescue Mission
Denver, CO, United States
Job Type Full-time Description The Vice President of Programs - Homelessness Resolution (VPPHR) is responsible for overseeing the intake, assessment, case planning, and rehousing efforts throughout the full scope of Denver Rescue Mission's (DRM) locations and community-based programming. General Duties Advance the mission of the Denver Rescue
Job Source: Denver Rescue MissionDenver Rescue Mission
Denver, CO, United States
Job Type Full-time Description The Vice President of Programs - Community Life (VPPCL) is responsible for overseeing the day-to-day program services at all of Denver Rescue Mission's shelter locations. General Duties Advance the mission of the Denver Rescue Mission through the delivery of healthy, safe, and engaging facility environments. Fos
Job Source: Denver Rescue MissionThe Vertex Companies, Inc.
Denver, CO, United States
Vice President of Project Accounting and Administration, Owner’s Project Management Mary Kuppens handles project accounting for the project. She handles the project accounting working closely with the Project Director, Senior Project Managers, and others to maintain the project standards. Mary has worked closely with each of our client owners and
Job Source: The Vertex Companies, Inc.VF
Denver, CO, United States
Full job description As a senior leadership team member, the Vice President of Global TNF Footwear provides leadership and vision to drive Footwear Product design and Brand positioning by executing product categories that effectively build the most technically innovative products. Provides dynamic, visible and inspirational leadership to positive
Job Source: VFDenver, CO, United States
Are you looking to work for a company that has been recognized for over a decade as a Top Place to Work? Apply today to become a part of a company that continues to commit to putting our employees first.
Job Description:
VP of Risk Adjustment is responsible for the overall management and implementation of various initiatives including, but not limited to, Risk Adjustment Programs. It is also accountable for the overall development, monitoring and oversight of Medicare adjustment initiatives and operations.
ESSENTIAL DUTIES:
Accountable for the overall integration, management, and implementation of the Medicare Risk Adjustment Program across Alpine.
Oversees and completes all aspects of Risk Adjustment projects and initiatives.
Oversees day-to-day risk adjustment related operational activities:
Coding team operations, including decision support on coding issues.
Coding processes and procedures, ensuring that the diagnosis supports the medical necessity of the procedure.
Participation in CMS user group calls and regional meetings.
Quality oversight on accurate and timely completion of data input
Data collection analysis for patterns and trends to identify opportunities to improve documentation.
Responsible for ensuring documentation is consistent with CMS regulations, company goals and policies.
Leverage predictive analytics and other insights from analytic teams to identify opportunities and develop innovative interventions to improve care management.
Continually refine quality assurance program to monitor, audit, and improve the quality of provider medical record documentation, diagnosis coding, and the coding work of staff or vendors
Identify innovative opportunities; provides guidance and suggestions for quality performance improvements in the collection and recording of clinical documentation.
Responsible for educating and keeping stakeholders current on changes in the marketplace as well as state and federal regulatory changes.
Manage third-party relationships that support the risk adjustment function.
Manage CMS audit/data validation
Develop collaborative partnerships with Finance, Clinical Operations, etc. to achieve objectives.
Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
EDUCATION:
Master’s Degree preferred, ideally in health care administration, business, or related field
EXPERIENCE:
Minimum:
10 years of experience in health care, managed care, health insurance or strategic consulting
6 years’ leadership / management experience; 4 years’ experience in medical record review, case management, utilization management, managed care, Home Health, QA Review, HEDIS review; 4 years’ experience with healthcare payment and coding methodologies (i.e., ICD-10, CPT, DRG and HCC coding).
Demonstrated ability in influencing various functional leaders in a matrix-based organization
Strong organizational and project management skills.
Excellent oral and written communication skills.
Demonstrated ability to facilitate meetings, discussions, and consensus processes.
Experience and comfort in using Word, Excel, and PowerPoint.
Ability to effectively operate independently and under tight deadlines.
Ability to work in partnership with clinicians, payers, vendors, and other key stakeholders.
Experience with quality-based and/or risk-based health insurance contracts
KNOWLEDGE, SKILLS, ABILITIES:
Excellent communication and people skills including the ability to negotiate and resolve conflicts and build teams.
Demonstrated creativity and flexibility, with the ability to operate in high-pressure situations.
Excellent organizational skills.
Demonstrated innovative approach to problem resolution.
Ability to work collaboratively across entities and disciplines, promoting teamwork.
Broad knowledge of modern health care administration practices and principles within a managed care environment.
Ability to develop and analyze options, recommend solutions, and solve complex problems and issues.
Effective organizational, planning, and project management abilities.
Experience in financial and programmatic presentations.
Ability to function independently and deal with multiple, simultaneous projects.
Ability to recognize personal strengths and weaknesses and develop goals for professional growth and achievement.
Ability to demonstrate a commitment to quality and excellence.
Ability to implement change in a positive, sensitive, and forward-thinking manner.
Developing goals and objectives while establishing priorities.
Inspires confidence, appropriate risk-taking, and achievement of lofty standards.
Initiative-taker with a willingness to try innovative ideas.
Positive, can-do attitude coupled with a sense of urgency, good judgment, and ability to act decisively at the right time.
Ability to persuade others and develop consensus.
Effective communication skills both in written and verbal presentation with a communication style that is open and fosters trust, credibility, and understanding.
Must be willing to travel for meetings.
Salary Range:
$189,033 - $236,290
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Email Alert for Vice President, Risk Program jobs in Denver, CO, United States
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