Market Director Population Health Quality and Risk
1 week ago
Job Summary and ResponsibilitiesWill have oversight for Arkansas, Tennessee/Georgia, and Kentucky markets.Supports quality, clinical practice, safety, risk coding, compliance, patient experience and Health Information Management functions within the Value Hub (Clinically Integrated Networks/CINs). Facilitates quality and patient experience performance across the SE Region Value Hub (VH) of CommonSpirit Health.Demonstrates productive and organized leadership in the development and implementation of performance improvement plans and programs necessary to meet strategic objectives.Conducts provider and quality incentive programs in the value hub. Manages a team of managers/personnel with varying critical organizational roles. Serves as market liaison, interfacing with internal clinical leaders and external payer partners for all things quality and risk for the value hub. Through Risk Management/Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas and Kentucky CIN.Educate providers to improve documentation and coding practices, for accurate claims submissions and accurate reimbursement.Continue to work closely with managers and providers to build relationships, establish trust and open communication related to documentation best-practices, accurate documentation and coding, and claims submissionsParticipate/assist in pilot programs for concurrent and retrospective review processes. Assist in the creation of workflows and guidelines for these new processes.Support the Risk Auditor Manager of closely working with the HCC Risk auditors to establish, and update daily workflows and audit processes. Ensure that auditors stay current on guidelines and best practices and maintain the highest level of ethics in their chart reviews and provider interactions. Use the weekly auditor’s roundtable to challenge each other and expand our knowledge on the most complicated areas of documentation and coding.Job RequirementsBachelors Degree in Nursing required License to practice nursing in either state of oversight (Arkansas, Tennessee, Georgia, or Kentucky) 5 years leadership experienceExtensive CIN/Value Hub experience requiredMust have experience with risk adjustment coding and value based reimbursement models of paymentKnowledge of CMS, NCQA, ambulatory care, quality, and population healthMay reside and work remotely from any state of oversight (Arkansas, Tennessee, Georgia, or Kentucky) Where You'll WorkCHI St. Vincent, a regional health network serving Arkansas, is part of CommonSpirit Health. We have served Arkansas since 1888 with a history of many firsts. Together with more than 4500 coworkers, 1000 medical staff and 500 volunteers we consistently receive praise for care advancements. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. CHI St. Vincent provides you with the same level of care you provide to others. We care about our team member well-being and offer benefits that complement and support your work/life balance.
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Little Rock, United States CHI Full timeMarket Director Population Health Quality and Risk Join to apply for the Market Director Population Health Quality and Risk role at CHI. Will have oversight for Arkansas, Tennessee/Georgia, Kentucky and Ohio markets. Work-mode is flexible/remote; preferably reside either in the EST or in CST zones, and up to 25‑50% professional travel may be involved. Job...
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Little Rock, United States Common Spirit Health Full timeMarket Director Population Health Quality And Risk Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient...
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Little Rock, United States CommonSpirit Health Full timeWhere You'll Work Southeast Value Hub (SEVH) is a consortium of multiple Clinically Integrated Networks (CINs) of CommonSpirit Health in the state of Arkansas, Kentucky, SE Tennessee/NE Georgia and Ohio. SEVH closely partners with CommonSpirit Health's Population Health Services Organization (PHSO) through which tools and resources are shared and...
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Little Rock, United States Catholic Health Initiatives Full timeJob Summary and Responsibilities Will have oversight for Arkansas, Tennessee/Georgia, Kentucky and Ohio markets. Work-mode is flexible/remote; preferably reside either in the EST or in CST zones, and up to 25-50% professional travel may be involved. Supports quality, clinical practice, safety, risk coding, compliance, patient experience and Health...
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Little Rock, United States CHI St Vincent Health Full timeJob Summary and Responsibilities Will have oversight for Arkansas, Tennessee/Georgia, Kentucky and Ohio markets. Work-mode is flexible/remote; preferably reside either in the EST or in CST zones, and up to 25-50% professional travel may be involved. Supports quality, clinical practice, safety, risk coding, compliance, patient experience and Health...
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Little Rock, United States Arkansas Staffing Full timeJob Summary And ResponsibilitiesWill have oversight for Arkansas, Tennessee/Georgia, Kentucky and Ohio markets. Work-mode is flexible/remote; preferably reside either in the EST or in CST zones, and up to 25-50% professional travel may be involved. Supports quality, clinical practice, safety, risk coding, compliance, patient experience and Health Information...
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Mkt Director Population Health Quality and Risk
2 weeks ago
Little Rock, Arkansas, United States CHI Full time $77,000 - $185,000 per yearJob Summary And ResponsibilitiesThe position leads the development, implementation, and oversight of the Regional Value Hub Quality and Risk department(s) in order to ensure the delivery of high quality, coordinated, and efficient care for patients covered under Common Spirit Health's value-based contracts. The position has management responsibility for all...
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Population Health Medical Director
1 day ago
Little Rock, AR, United States Baptist Health Full timeShift: Day Working Hours: 8a-5p Summary: The Population Health Medical Director is responsible for developing, implementing, and overseeing population health strategies that enhance the quality of care, reduce healthcare costs, and address health disparities within the Value Based Contracts of Baptist Health. The Medical Director will work closely with...
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Population Health Medical Director
7 days ago
Little Rock, AR, United States Baptist Health Full timeShift: Day Working Hours: 8a-5p Summary: The Population Health Medical Director is responsible for developing, implementing, and overseeing population health strategies that enhance the quality of care, reduce healthcare costs, and address health disparities within the Value Based Contracts of Baptist Health. The Medical Director will work closely with...
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Network Manager
3 weeks ago
Rock Hill, United States Bon Secours Health System Full timeThank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Bon Secours About Us As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well‑being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a...
