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Psychiatrist-Medical Director
3 weeks ago
Rebound Behavioral Health Hospital Lancaster, United StatesMedical Director for Rebound Behavioral Health Hospital South of Charlotte in Lancaster, SC · Rebound is a well known behavioral health center located south of Charlotte and is seeking a Medical Director for a 63 Bed free standing acute facility for Adults, Dually Diagnosed withi ...
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Medical Director-Facility
2 weeks ago
Rebound Behavioral Health Lancaster, United StatesOverview: · Psychiatrist for Hospital South of Charlotte · Well known behavioral health center located south of Charlotte is seeking director for a 63 Bed free staniing acute facility for Adults, Dually Diagnosed and Behavioral Health · We offer a strong package that includes ...
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Medical Director of Anesthesia
1 week ago
MUSC Health Lancaster, SC, United StatesMUSC Health, the clinical enterprise of the Medical University of South Carolina, is seeking an Anesthesiologist with leadership experience to provide oversight and leadership for Anesthesia services at all hospitals within the MUSC Health Catawba Division. The division currently ...
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Psychiatrist-Medical Director
3 weeks ago
Rebound Behavioral Health Hospital Lancaster, SC, United StatesMedical Director for Rebound Behavioral Health Hospital South of Charlotte in Lancaster, SC · Rebound is a well known behavioral health center located south of Charlotte and is seeking a Medical Director for a 63 Bed free standing acute facility for Adults, Dually Diagnosed with ...
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Medical Director of Anesthesiology
3 weeks ago
Medical University of South Carolina Health Lancaster, SC, United States Full timeMUSC Health, the clinical enterprise of the Medical University of South Carolina, is seeking an Anesthesiologist with leadership experience to provide oversight and leadership for Anesthesia services at all hospitals within the MUSC Health Catawba Division. The division currently ...
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Medical Director-Facility
2 weeks ago
Acadia Healthcare Lancaster, SC, United States Full timePsychiatrist for Hospital South of Charlotte · Well known behavioral health center located south of Charlotte is seeking director for a 63 Bed free staniing acute facility for Adults, Dually Diagnosed and Behavioral Health · Sign on bonus · Relocation assistance · CME reimbur ...
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Medical Director-Facility
2 weeks ago
Acadia Healthcare Lancaster, SC, United States Full timeOverview: · Psychiatrist for Hospital South of Charlotte · Well known behavioral health center located south of Charlotte is seeking director for a 63 Bed free staniing acute facility for Adults, Dually Diagnosed and Behavioral Health · We offer a strong package that includes ...
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Psychiatry, Medical Director, Psychiatrist
3 weeks ago
Rebound Behavioral Health Hospital Lancaster, SC, United StatesMedical Director for Rebound Behavioral Health Hospital South of Charlotte in Lancaster, SC · Rebound is a well known behavioral health center located south of Charlotte and is seeking a Medical Director for a 63 Bed free standing acute facility for Adults, Dually Diagnosed with ...
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CLevelCrossing Lancaster, United StatesAVP Stars and Risk Adjustment National Medical Director · Location · Lancaster, SC, United States · 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 · i ...
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Medical Director
1 week ago
Protouch Staffing Matthews, United StatesMedical Director (Psychiatrist)- Matthews - NC, US · Shifts: 15 hours per week. Part-time · Major job functions:Supports the Agency's mission, vision, philosophy and core values. · Serves as the Medical Director for North Carolina Residential and Community based programs . · As ...
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Medical Director
3 weeks ago
Protouch Staffing Matthews, United StatesMedical Director (Psychiatrist)- Matthews - NC · Position:Medical Director (Psychiatrist) Location: Matthews, NC. · Shifts: 15 hours per week. Part-time · Healthcare Setting: Rehabilitation Centre (Inpatient) · Responsibilities: · Provide clinical leadership and oversight for the ...
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Medical Director
1 week ago
CaroMont Health Gastonia, United StatesCaroMont Health Primary Care Service Line Physician Medical Director # Qualifications:North Carolina Medical License and CaroMont Regional Medical Center Medical Staff membership in good standing. Specialty specific Board certification, employed by CaroMont Medical Group, and act ...
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Medical University of South Carolina Health Lancaster, SC, United States Full timeThe Medical University of South Carolina and MUSC Health are seeking outstanding candidates to lead and grow new Internal Medicine and Family Medicine Residency programs in the roles of Internal Medicine Residency Director and Family Medicine Residency Director in Lancaster, Sou ...
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Psychiatrist - Medical Director
1 week ago
Liberty Healthcare Corporation Rock Hill, United StatesJob Description · A full-time Medical Director position is now available with Liberty Healthcare at the Catawba Community Mental Health Center. · The Catawba Community Mental Health Center provides high quality outpatient services to children, adolescents, adults, and families wh ...
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Psychiatrist - Medical Director
3 weeks ago
Liberty Healthcare Rock Hill, SC, United StatesA full-time Medical Director position is now available with Liberty Healthcare at the Catawba Community Mental Health Center. · The Catawba Community Mental Health Center provides high quality outpatient services to children, adolescents, adults, and families who are experiencin ...
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Psychiatrist - Medical Director
3 weeks ago
Liberty Healthcare Rock Hill, SC, United StatesA full-time Medical Director position is now available with Liberty Healthcare at the Catawba Community Mental Health Center. The Catawba Community Mental Health Center provides high quality outpatient services to children, adolescents, adults, and families who are experiencing ...
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OBGYN Medical Director
2 weeks ago
Atrium Health Monroe, United StatesIf it's possible, you will find it at Atrium Health—the leading community-focused academic healthcare system serving North Carolina and South Carolina. We invite OBGYN Physicians to discover all that we can do when we bring healing hearts, inquisitive minds and progressive vision ...
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OBGYN Physician Medical Director
3 weeks ago
Atrium Health WAXHAW, United StatesOverview · If it's possible, you will find it at Atrium Health—the leading community-focused academic healthcare system serving North Carolina and South Carolina. We invite OBGYN Physicians to discover all that we can do when we bring healing hearts, inquisitive minds and progre ...
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OBGYN Physician Medical Director
1 week ago
Atrium Health Waxhaw, United StatesOverview · If it's possible, you will find it at Atrium Health-the leading community-focused academic healthcare system serving North Carolina and South Carolina. We invite OBGYN Physicians to discover all that we can do when we bring healing hearts, inquisitive minds and progre ...
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OBGYN Physician Medical Director
1 week ago
Atrium Health Monroe, United StatesIf it's possible, you will find it at Atrium Health-the leading community-focused academic healthcare system serving North Carolina and South Carolina. We invite OBGYN Physicians to discover all that we can do when we bring healing hearts, inquisitive minds and progressive vision ...
Medical Director - Lancaster, SC, United States - CLevelCrossing
Description
AVP Stars and Risk Adjustment National Medical DirectorAVP, Stars and Risk Adjustment National Medical Director
The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can contribute to Humana's national planning and operations for Risk Adjustment, Stars, and Interoperability.
As an individual contributor, this role will: 1) inform and support HQRI's provider strategy across Stars, RA, and Interoperability, 2) serve as a coding expert to manage escalations or establish compliant policies, and 3) contribute as a clinical industry representative.As a leader, this role leads HQRI's Provider Support team (PST) that drives national provider education strategy and operations along with provider communication operations.
HQRI is an organization with over 900 associates that leads Humana'sStars, Risk Adjustment and Interoperability strategy, operations, and performance nationally.
This role relies on medical background, business acumen, and industry-standard clinical / coding guidance to ensure physician and healthcare provider plans, education, reporting and materials are accurate and consistent across the enterprise to support regional and corporate strategic initiatives.
The Associate Vice President (AVP), Stars and Risk Adjustment National Medical Director leads key strategic and operational functions.In collaboration with corporate stakeholders and regional teams, this role is responsible for supporting corporate and regional strategies for physician and healthcare provider education or operations for Risk Adjustment and Stars.
In addition, the position provides supportive clinical and coding expertise across the teams in HQRI.This position reports the Vice President of Strategy Advancement in the Healthcare Quality Reporting and Improvement organization (HQRI) and collaborates significantly with the HQRI Senior Leadership Team across its programs.
This is a remote position with travel expectations up to 25%.policies and procedures aligned to those functions
Serve as a coding expert, which may include working through escalations on coding disputes, policy development or refinement, and coordination and education with providers or Humana associates
Board Certified in an approved ABMS Medical Specialty
Knowledge of the managed care industry including Medicare, Medicaid and / or Commercial products
Must be passionate about healthcare quality and contributing to an organization focused on maintaining accuracy of coding and documentation to capture the true health status of our members thru risk adjustment initiatives
Experience with quality assurance and/or regulatory compliance
Travel up to 25%
Certification in diagnosis coding (must receive AAPC certification within one year of hire)
Ability to help develop and use data and analytics to drive sustainable results
External communications for physicians and healthcare providers
Prior experience leading teams focusing on the accuracy of medical record documentation and diagnosis coding
Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.
Working knowledge of risk adjustment concepts
Internal Medicine, Family Practice, Geriatrics, OBGYN, Hospitalist clinical specialty
Experience with Stars, including HEDIS, CAHPS and HOS
Vaccine Policy
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters.
Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the fieldHumana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion.
We also provide free language interpreter services.DescriptionHumana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, regulator...
DescriptionHumana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being.
As a company focused on the health and well-being of the people we...DescriptionHumana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being.
As a company focused on the health and well-being of the people we...#
