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Confidential
Phoenix, AZ, 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 opt
Job Source: ConfidentialConfidential
Phoenix, AZ, 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: ConfidentialMUFG - Mitsubishi UFJ Financial Group, Inc.
Tempe, AZ, United States
Produce timely, accurate, and impactful credit risk reporting for a diverse user audience. Work with FLOD/ SLOD report owners/users to recommend and define report content requirements (metrics, trends, frequency, etc.) for new and modified credit ris Risk, Vice President, Reporting, Credit, President, Total Rewards, Management
Job Source: MUFG - Mitsubishi UFJ Financial Group, Inc.MUFG (DBA)
Tempe, AZ, United States
Do you want your voice heard and your actions to count? Discover your opportunity with Mitsubishi UFJ Financial Group (MUFG), the 7th largest financial group in the world. Across the globe, we're 120,000 colleagues, striving to make a difference for every client, organization, and community we serve. We stand for our values, building long-term rel
Job Source: MUFG (DBA)MUFG
Tempe, AZ, United States
Do you want your voice heard and your actions to count? Discover your opportunity with Mitsubishi UFJ Financial Group (MUFG), the 7th largest financial group in the world. Across the globe, we’re 120,000 colleagues, striving to make a difference for every client, organization, and community we serve. We stand for our values, building long-term rel
Job Source: MUFGMUFG
Tempe, AZ, United States
Credit Risk Reporting, Vice President page is loaded Credit Risk Reporting, Vice President Apply locations New York, NY Tempe, AZ time type Full time posted on Posted 13 Days Ago job requisition id 10064677-WD Do you want your voice heard and your actions to count? Discover your opportunity with Mitsubishi UFJ
Job Source: MUFGMUFG
Tempe, AZ, United States
Risk & Controls Testing & Assessment, Assistant Vice President page is loaded Risk & Controls Testing & Assessment, Assistant Vice President Apply locations Tampa, FL New York, NY Tempe, AZ time type Full time posted on Posted 30+ Days Ago job requisition id 10063770-WD Do you want your voice heard and your a
Job Source: MUFGHumana Inc.
Phoenix, AZ, United States
AVP Stars and Risk Adjustment National Medical Director Location Phoenix, AZ, United States Employment Type Full-Time Posted on Apr 28, 2023 Apply for this job your email: upload resume: Profile Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Phoenix Arizona Description The Healthcare Quality Reporting &
Job Source: Humana Inc.Gilbert, AZ, United States
**Vice President of Risk Adjustment**
Executive Gilbert, Arizona Minimum Experience **Mid-level** Job Description:
The Vice President of Risk Adjustment is responsible for the oversight of Clinical Risk Adjustment activities including staff performance, reporting, and documentation management. The duties include but are not limited to recruitment, retention, supervision, and mentoring. The VP provides leadership and fosters cooperation, collaboration, and collegiality among their team members and our provider colleagues. The incumbent is personally responsible for promoting and maintaining excellence and integrity in risk adjustment initiatives, and in enhancing the quality of risk adjustment training.
Specifically, the VP of Risk Adjustment is responsible for the orientation, education, and training of all network providers in clinical documentation quality and subsequently in population health management of assigned patients to achieve the quadruple aim.
The VP of Risk Adjustment maintains the integrity of the department by proper utilization of fiscal resources, and personnel matters. The VP attends/leads clinic/ regional/national level meetings to present material and learning opportunities for improving patient outcomes and program management (such as Quality, STARs, Clinical Documentation, comprehensive care, and care coordination, among others).
The Company:
This role is with US Health Systems, an Arkos Health Company. Arkos serves health plans and provider organizations an integrated system-of-care comprised of clinical and social services backed by a robust technology platform. By engaging individuals with virtual, in-home, in-clinic and in-facility care options, Arkos Health delivers advanced community-based health services that allow our clients to live healthier, more independent lives.
All Employee MUST be fully COVID-19 Vaccinated.
Essential Duties and Responsibilities :
* Oversees the Provider Education department including direct oversight of Associate Medical Directors.
* In collaboration with the VP of Quality & Performance, oversees strategy/risk adjustment training/performance for Provider Relations department to achieve provider engagement, risk adjustment and quality goals.
* In collaboration with the VP of Clinical Services, oversees risk adjustment training/performance for the Home Wellness team/providers.
* Reviews charts regularly to aid in the education process and discover opportunities for continuous improvement of patient outcomes. Meets expected productivity in chart review to inform programming needs.
* Develop ongoing chart review processes to ensure continued high standards in clinical judgment, and completeness, as well as aid in developing and monitoring inter-reviewer reliability testing.
* Assist with the evaluation of new technologies/vendors related to Risk Adjustment and Quality.
* Provide mentoring to providers on managed care and professional development issues to support improved provider engagement and retention.
* Coach providers and deliver feedback in a constructive manner that leads to improved provider engagement and enhanced clinical behavior.
* Analyze data, prepare, and implement action plans to help improve provider and clinical performance/outcomes.
* Analyze practice data/documentation patterns, strategize, and coordinate with Associate Medical Directors/Provider Relations Director to implement effective changes for improved performance.
Qualifications/Skills:
* Experience in and knowledge of CPT, ICD, HCPCS, HCC coding , and Risk Adjustment
* Medical degree
* Current, active license to practice medicine in the state of Arizona preferred. (Multi-state cross-licensure may be required)
* Minimum of 5 years' work experience related to clinical documentation, clinical risk adjustment, and patient population health management
* Strong communication and interpersonal skills
Benefits:
* Fully paid employee medical/dental/vision/life/short term disability
* Employer matching 401(k)
* Annual sick/PTO with 9 paid holidays
Must complete our Culture Index Survey. Take the assessment at . This is not a pass/fail test and does not measure intelligence.
Arkos Health EEO Statement
All Arkos Health divisions are Equal Opportunity Employers. We do not discriminate on the basis of race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status or any other status protected under federal, state or local laws.
Arkos Health is a drug free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.
Location Gilbert, Arizona Minimum Experience Mid-level
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Email Alert for Vice President of Risk Adjustment jobs in Gilbert, AZ, United States
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