- has over 500,000 membersto date
- astrong leadership team (the current director has been in her role over 10 yrs)
- over 2500 physicians
- multiple locations from LA to San Diego
- heading the Case Management team creating and approving care plans
- educating PCPs and their staff on HCC and quality metrics
- the lead expert on HCC coding
- sharing knowledge on preventing financial risk
- flexing your skills working through prior auths, formulary exceptions, and concurrent review
- be the decision-maker on medical necessity
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Elevance Health, Inc. Woodland Hills, United StatesDirector of Medicare Risk Adjustment Analytics and Reporting Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance Health Pulse. Point location in Woodland Hills, CA. The D Risk, Director, Analytics, Re ...
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Elevance Health Woodland Hills, United States· Director of Medicare Risk Adjustment Analytics and Reporting · Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance Health PulsePoint location in Woodland Hills, CA. · The Director of Medicare Risk ...
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Elevance Health Woodland Hills, United StatesDirector of Medicare Risk Adjustment Analytics and Reporting · Location: ?This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance Health PulsePoint location in Woodland Hills, CA. · The Director of Medicare Risk ...
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Elevance Health Woodland Hills, United StatesAnticipated End Date: · Position Title: · Director of Medicare Risk Adjustment Analytics and Reporting · Job Description: · Director of Medicare Risk Adjustment Analytics and Reporting · Location: This position will work a hybrid model (remote and office). The ideal candida ...
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Medical Director, Risk Adjustment
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Regal Medical Group Los Angeles, United StatesThe Medical Director of Risk Adjustment is responsible and accountable for the performance of a specific region in terms of RAF score for all product lines that risk adjust and quality scores for all product lines. The Medical Director will be working with internal staff, larger ...
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Elevance Health Los Angeles, United States Full timeJob Description · : Director of Medicare Risk Adjustment Analytics and Reporting · Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance Health PulsePoint location in Woodland Hills, CA. · The Dir ...
Medical Director Risk Adjustment - Los Angeles, United States - AMI Network
Description
Job Description
Job DescriptionWe're partnered with a large HMO headquartered in Los Angeles to find a Full-Time Medical Director to lead a team of 10
As the leader of the Risk Department, you'll oversee a mixture of project managers and physician trainers, provide documentation education to contracted physicians, and ensure appropriate reimbursement to the healthplan.
You'll be on-site in Northridge as well as traveling to area clinics, shaking hands with the providers and the leadership team
This HMO has:
As the Medical Director you'll be:
This plan needs someone well-versed in the managed care space, willing to be "boots on the ground", shaking hands in LA, understands HCC coding and is comfortable providing guidance and direction to physicians.
They have it down-do things right and success follows.They understand what it means to create meaningful interaction between physicians so that patient care is the best it can be, and providers are happy in their role.
Click"Apply"to learn more details.
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