-
Atlantic MEDsearch Vancouver, United StatesBehavioral health center seeks Board-Certified Psychiatrist to join their team as the facility's Medical Director. This clinical leadership role involves leading inpatient-outpatient services, program management, development & supervision of staff psychiatrists and other provider ...
-
Medical Director
3 weeks ago
National Veterinary Associates Vancouver, United StatesDuties: Oversee the quality of medical services provided by all doctors and support staff. Examine, diagnose, treat, and manage cases presented to the Internal Medicine Department. Collaborate with the Hospital Director and Talent Development to recr Medical Director, Director, M ...
-
Medical Director
3 weeks ago
MedVet Vancouver, United States· Exciting opportunity for a strong Medical Director (MD) to support our healthcare team of our new 27,000 sq ft hospital at MedVet Specialty and Emergency hospital in Vancouver, WA. · Why MedVet Vancouver? · MedVet Vancouver is our new specialty and emergency hospital that su ...
-
Medical Director
3 weeks ago
Acadia Healthcare Vancouver, United States Part timeOverview: · COME PRACTICE WITH US · Part Time - Medical Director, Addictions · Vancouver CTC Jail · Flexible Schedule · Addiction Medicine patients require care from specialty-trained professionals, in a highly-specialized, and quality-focused environment. Our team at Vancouver ...
-
Medical Director
3 weeks ago
MedVet Vancouver, United StatesJob Description · Job DescriptionExciting opportunity for a strong Medical Director (MD) to support our healthcare team of our new 27,000 sq ft hospital at MedVet Specialty and Emergency hospital in Vancouver, WA. · Why MedVet Vancouver? · MedVet Vancouver is our new specialty ...
-
Medical Director
1 week ago
Direct Jobs Vancouver, United StatesExciting opportunityfor a strong · Medical Director (MD) · to support our healthcare team and co-lead the launch of our new 27,000 sq ft hospital at MedVet Specialty and Emergency hospital in Vancouver, WA. · Why MedVet Vancouver? · MedVet Vancouver is a soon to open specialty ...
-
Medical Director
3 weeks ago
Acadia Healthcare Vancouver, United States Part timeOverview: · COME PRACTICE WITH US · Part Time - Medical Director, Addictions · Vancouver CTC Jail · Flexible Schedule · Addiction Medicine patients require care from specialty-trained professionals, in a highly-specialized, and quality-focused environment. Our team at · Vanco ...
-
Medical Director
3 weeks ago
Vancouver Comprehensive Treatment Center Vancouver, United States Part timeOverview: · COME PRACTICE WITH US · Part Time - Medical Director, Addictions · Vancouver CTC Jail · Flexible Schedule · Addiction Medicine patients require care from specialty-trained professionals, in a highly-specialized, and quality-focused environment. Our team at Vanco ...
-
Medical Director
3 weeks ago
MedVet Vancouver, WA, United StatesDescription Exciting opportunity for a strong Medical Director (MD) to support our healthcare team of our new 27,000 sq ft hospital at MedVet Specialty and Emergency hospital in Vancouver, WA. Why MedVet Vancouver? MedVet Vancouver is our new specialty and emergency hospital ...
-
Medical Director
3 weeks ago
MedVet Medical & Cancer Centers for Pets Vancouver, WA, United StatesExciting opportunity with $100,000 Signing Bonus for a strong Medical Director (MD) to support our healthcare team and co-lead the launch of our new 27,000 sq ft hospital at MedVet Specialty and Emergency hospital in Vancouver, WA. · Why MedVet Vancouver? · MedVet Vancouver is ...
-
Medical Director
4 days ago
Rainier Springs Vancouver, United StatesOverview · Rainier Springs · is a 72-bed behavioral hospital located in Vancouver, WA. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents, and their families. At · Rainier · Springs · we are dedicated to · Changing Peop ...
-
Medical Director
3 weeks ago
Rainier Springs Vancouver, United StatesOverview: · Rainier Springs is a 72-bed behavioral hospital located in Vancouver, WA. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents, and their families. At RainierSprings we are dedicated to Changing Peoples Lives. · R ...
-
Medical Director
2 weeks ago
Lifeline Connections Vancouver, United StatesJob Description · Job DescriptionLifeline Connection's Mission Statement: · Through superior customer service, high quality programs and a well-trained and dedicated staff, we inspire hope and support lifesaving changes for people affected by substance use and mental health cond ...
-
Psychiatry Medical Director
1 week ago
Integrity Healthcare Vancouver, United StatesBoard-Certified Psychiatrist to act as facility's Medical Director. Help lead a highly engaged team to deliver the type of care you would want your own loved ones to receive. Engage with patients, families, employees, communities, healthcare provider Medical Director, Director, B ...
-
Psychiatric Medical Director
1 week ago
Fcs Co Vancouver, United StatesBoard Certified Psychiatrist- Medical Director · Facility in Vancouver, WA is seeking a board certified/ eligible Psychiatrist to join a highly engaged team for its Medical Director role. · Must have unrestricted license in WA, DEA, state-controlled substance registration and c ...
-
Oncology Medical Director
2 weeks ago
FCS, Inc. Vancouver, WA, United States Full timeBoard Certified Psychiatrist- Medical Director · Facility in Vancouver, WA is seeking a board certified/ eligible Psychiatrist to join a highly engaged team for its Medical Director role. · Must have unrestricted license in WA, DEA, state-controlled substance registration and c ...
-
Psychiatric Medical Director
2 weeks ago
FCS, Inc. Vancouver, WA, United StatesBoard Certified Psychiatrist- Medical Director · Facility in Vancouver, WA is seeking a board certified/ eligible Psychiatrist to join a highly engaged team for its Medical Director role. · Must have unrestricted license in WA, DEA, state-controlled substance registration and c ...
-
Medical Director Health Services
14 hours ago
Lifeline Connections Vancouver, WA, United States Full timeLifeline Connection's Mission Statement: · Through superior customer service, high quality programs and a well-trained and dedicated staff, we inspire hope and support lifesaving changes for people affected by substance use and mental health conditions. · Lifeline Connection's ...
-
Rainier Springs Medical Director
1 week ago
Springstone, Inc. Vancouver, United States Full timeOverview · Rainier Springs is a -bed behavioral hospital located in Vancouver, WA. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents, and their families. At Rainier Springs we are dedicated to Changing People's Lives . · ...
-
Medical Director
1 day ago
Central City Concern Portland, United StatesWe are on the search for a Medical Director of Primary Care at our Old Town Clinic who will be a great community partner and operational leader. We are looking for a Leader who wants to grow and develop successful strong teams. Someone who is compassionate and meets people where ...
AVP Stars and Risk Adjustment National Medical Director - Vancouver, United States - Humana
Description
AVP Stars and Risk Adjustment National Medical DirectorEmployment 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
Vancouver
Washington
Description
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. Lastly, this leader will be instrumental in supporting interoperability efforts.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%.Major responsibilities include
Inform HQRI's provider strategy and increase adoption of Humana's Stars, MRA, and interoperability strategy and programs
Lead a team/organization of 10 associates across three functions: Education of Humana's Market-based associates on how to drive accurate reporting through provider education; Provider communications; policies and procedures aligned to those functions
Serve as HQRIs clinical industry representative (e.g., Conferences; national vendor or provider partners)
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
Required Qualifications
MD or DO degree
A current and unrestricted license in at least one jurisdiction
Board Certified in an approved ABMS Medical Specialty
Excellent communication skills, both written and verbal
5 years of established clinical experience
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%
Preferred Qualifications:
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
Detail oriented and effective listener
Experience with Stars, including HEDIS, CAHPS and HOS
Prior experience in a business function or business consulting role
Additional Information:
Vaccine Policy
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters.
Scheduled Weekly Hours
40
Humana 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.
Humana Inc.
Website :
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...Job Title:
COO & President, Etz Hayim. Parent Company of Cycling Frog and Lazarus Naturals.
Etz Hayim is looking for a COO & President to take the helm of the organization so the Founder and current CEO can step back from day-to-d...
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...#J-18808-Ljbffr