Current Jobs
Job Title | Location |
Description |
Date Posted |
Value Based Care Program Manager | Hollywood, FL |
Do you have at least 3 years of clinical experience and a desire to drive change across the healthcare system for better outcomes, all without sacrificing your family time or mental health? Are you a passionate and energetic RN with knowledge about Value Based Care and Population Health? If yes, then our Value Based Care Program Manager opportunity may be the right fit for you! Our Value Based Care Program Manager is meant to partner with operations, analytics, clinical leadership, care management, utilization management, network strategy and patient engagement teams. The VBC Manager will also coordinate care transformation solutions which will provide improved outcomes, good transition of care and avoid readmissions. Memorial has been recognized for the twelfth time as one of the Best Places to Work in Healthcare (Modern Healthcare, 2009 – 2021). We offer abundant growth opportunities, an authentic employee engagement culture, and wide ranging benefits (from pension, healthcare and identity theft protection to education assistance and virtual doctor visits) – no wonder so many employees build and grow their entire careers here! Apply Now! |
09/21/2021 |
PACE - Medical Director | Lynchburg, VA |
Centra Health’s PACE is a Program of All-Inclusive Care for the Elderly designed for frail older adults who want to live at home and have their primary care and supportive services provided in collaboration with a physician. The PACE Medical Director is responsible for the delivery of participant care, clinical outcomes, and for the implementation, as well as oversight, of the quality improvement program for all PACE programs in our three locations: Lynchburg, Farmville, and Gretna. In a dyad relationship with the Executive Director, this person will provide leadership and a value-based vision to PACE. The Medical Director shares the administrative functions that directly impact PACE providers as well as collaborates with operations in areas of strategic planning, finance, and data driven performance improvement. Required Qualifications
Benefits
Our Healthcare System Our Community |
09/16/2021 |
Healthcare Policy Analyst | Remote |
The Healthcare Policy Analyst will apply policy and data analysis to product design and client deliverables. Your work will directly influence products and drive critical decisions for healthcare providers.
REQUIREMENTS
Two opportunity levels: Senior: 5+ years work experience in VBC. Junior: Recent graduates with 1+ years work experience in VBC.
We are currently only accepting candidates available for immediate full-time employment. Send in your latest resume to [email protected]. Write a note explaining your long-term career goals and what makes you interested in Validate and this position specifically. Please include links to LinkedIn and any other materials that you feel speak to who you are and your capabilities, such as publications, blog or portfolio. Specify the date you’re available to start work, visa/citizenship status, and any sponsorship requirements. Indicate that you’re willing to take an aptitude test. Add “Strategy Consultant via NAACOS” to the subject line. |
09/09/2021 |
Senior Contracts Administrator | Denver, CO and fully remote |
Ability to work fully remote! Open to part time or full time employee. Senior Contracts Administrator develop, drafts, prepares and administers contracts, bids, and proposals that meet specifications and complies with all policies, regulations, company standards, industry best practices, reimbursement structure standards, and other key process controls. Reviews contract terms to identify any potential risk or compliance issues. Examines supporting materials and agreement documents related to bids or contracts and provides guidance. Acts as a liaison between the organization and subcontractors to implement the contracts. Maintains contract records used to ensure compliance with reporting and regulatory requirements. Experience drafting contracts from the beginning, as well as reviewing contracts for compliance and protection, is essential in this role. Responsibilities also include working collaborative with all departments and multiple lines of business to ensure all contract types meet relevant laws and regulations before the company commits to the agreement, and then monitors adherence to the contract's terms. Ability to work autonomously to draft and execute varied healthcare contracts. Maintains corporate legal functions including business licensing, trademarks, and insurance applications. A strong understanding of a corporate legal department and its operations, including litigation, contracting, and other areas. Salary Range:$70,964.00 To 88,705.00 Annually Apply Now! |
08/27/2021 |
Member Support Specialist | Denver, CO and mostly remote |
Primarily work from home! The Member Support Specialist will have extensive knowledge of local, community-based supports, to include social supports as well as medical and behavioral supports, in order to successfully connect members with existing health services and effectively navigate the health system. The Member Support specialist will provide customer service for member inquiries, to include answering eligibility and enrollment questions, administering health needs assessments, identifying barriers and presenting solutions, and triaging patients to a higher level of care coordination, in order to assist members with maximizing their use of the health system. The Member Support Specialist will provide customer service for physical and behavioral health provider inquiries, to include answering questions and connecting providers with available resources across the health system Salary Range:$16.3400 To 20.4300 Hourly Apply Now! |
08/27/2021 |
Contract & Legal Affairs Specialist |
Ability to work fully remote! Position Summary: Contract and Legal Affairs Specialist drafts, evaluates and negotiates contracts that are in compliance with company standards, industry best practices, reimbursement structure standards, and other key process controls. Experience drafting contracts from the beginning, as well as reviewing contracts for compliance and protection, is essential in this role. Responsibilities also include establishing and maintaining strong business relationships with network participants, ensuring the network composition includes an appropriate distribution of provider specialties and working collaborative with all departments and multiple lines of business to ensure all contract types meet relevant laws and regulations before the company commits to the agreement, and then monitors adherence to the contract's terms. Ability to work autonomously to draft and execute varied healthcare contracts. Maintains corporate legal functions including business licensing, trademarks, and insurance applications. A strong understanding of a corporate legal department and its operations, including litigation, contracting, and other areas. Salary Range:$63,797.00 To 79,747.00 Annually Apply Now! |
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Administrative Assistant, Medicaid Programs | Colorado Springs, CO and ability to work from home 2-3 days/week. |
Position Summary: Responsible for providing administrative support to the Director of Medicaid Programs including calendar support, meeting facilitation, note taking and development of meeting materials including excel documents and power point presentations. Provides project management assistance to execute the strategic plan. Also functions as the main point of contact for callers and visitors in the Colorado Springs office with the ability to work from home 2-3 days/week. Salary Range:$19.1600 To 23.9500 Hourly Apply Now! |
08/27/2021 |
Supervisor, Care Coordination RN | Supervisor, Care Coordination RN |
Responsible for oversight and supervision of daily operations of Care Coordination Department, comprised of nurses and social workers. Care Coordinators provide services on behalf of primary care providers to patients in areas such as care planning, disease management, med reconciliation, behavioral health, social determinants of health and advance directives. The Supervisor of Care Coordination, functions as a subject matter expert within the Care Coordination team, PHP Departments and practices. At the direction of the Manager, may provide care coordination services. Collaborates with the Manager and Director of Care Coordination in planning and executing departmental initiatives. Apply Now! |
08/27/2021 |
Supervisor, Data Analytics | Denver & Remote |
Ability to work partially remote plus a $2,500 sign-on bonus! Position Summary: Responsible for overall management, planning, and direction of the functions of the CDS Department. This includes supervising, training, and developing analyst team; leading key team projects to manage and optimize processes for data validation, mining, modeling, and visualization/reporting. Oversees the development and implementation of quality controls and departmental standards to ensure accuracy of data and deliverables. Utilizes analytic insights to identify strategic opportunities and drive key business initiatives. Salary Range:$81,014.00 To 101,267.00 Annually Apply Now! |
08/27/2021 |
Manager, Clinical Data Analytics | Denver, CO |
Responsible for the overall management, training, planning, and direction of the informatics team. Oversees the work and ensures the accuracy of the information provided by the team. Understands PHP's short-term and long-term business needs and develop data strategies and recommendations on how best to put data analytics to use. Able to interpret data and support the team to produce understandable and actionable reports. Apply proven communication skills, problem-solving skills, and knowledge of best practices to guide the team on issues related to the design, development, and deployment of reports and software systems. The manager must demonstrate an understanding of relational database structures and has extensive experience in writing and tuning SQL queries and writing stored procedures and report development in SSRS, Tableau, and/or Power BI. Must be comfortable working in a fast-paced and dynamic environment. Ability to work partially remote plus a $2,500 sign-on bonus! Apply Now! |
08/27/2021 |
President and Chief Executive Officer | US - Open |
America’s Physician Groups is one of our nation’s premier organizations leading the movement to transform American Healthcare. APG is a national association representing more than 335 physician groups in 44 states with approximately 170,000 physicians providing care to nearly 90 million patients. APG’s tagline, ‘Taking Responsibility for America’s Health,’ represents APG’s members’ vision to move from the antiquated, dysfunctional fee-for-service reimbursement system to a clinically integrated, value-based healthcare system where physician groups are accountable for the coordination, cost, and quality of patient care. APG has offices or staff in Washington, D.C, Los Angeles and Sacramento. It generates $8 million in annual revenues and is staffed by 15 employees. The APG Board is seeking an experienced and talented executive who is passionate about leading an association that is committed to transforming American Healthcare. As the lead spokesperson for APG, this leader will have the authenticity and credibility nationally to inspire, motivate, and influence others. He/she will be masterful in relationship building with the board, staff, members, government agencies, legislatures, insurance companies, and health systems. Qualified candidates will have ten years plus of experience in progressive healthcare leadership roles and will possess exceptional knowledge of value-based care and a deep understanding of what is needed to drive performance in value- and risk-based contracts. Please send cover letter and resume to [email protected] |
08/17/2021 |
VP, CHS Operations - North Region | Remote or Tampa, FL or Charlotte, NC |
Collaborative Health Systems (CHS), a leading management services organization that partners with independent primary care physicians (PCP) as they move to value-based models, is seeking a leader with overall P&L responsibility for its north region. The individual will drive results across a diverse portfolio of value-based contracts. The position requires strong operational and strategic leadership as well as close engagement among PCP partners. Will work closely with national finance, actuary, clinical, operations and development teams to achieve CHS’s overall strategic objectives.
Bachelor's degree in Business Administration, Finance, Accountancy or a related field. Master’s degree preferred. 9+ years of operations, management, or administration in the healthcare or insurance industry. Extensive experience in contracting, contract acquisition, operations management, and strategic planning and development. IPA experience preferred. Experience with value-based contracting preferred. Apply Now! (see career home) |
08/17/2020 |
Financial Analyst - Value Based Care | Fort Myers/Remote |
The Financial Analyst – Value Based Care supports the financial operations and analytical efforts of the fast-growing company's various value-based contracts ranging from MSSP ACOs, Medicare Advantage Plans, and Commercial ACOs. This position will collaborate with various payor partners and internal stakeholders to deliver enhanced performance on value-based contracts. Duties will include financial system development, financial operations process development, and process execution. Works closely with the company's value-based analytics, payor contracting, and finance teams to ensure appropriate and meaningful collaboration drives results. The position works on multiple projects as a subject matter expert in a fast-paced environment for the support of executive management, physicians, and other internal clients. 'Education and Experience Minimum:
Preferred:
|
08/16/2021 |
Contract Manager | Remote Flex - Occasional Travel to Maine Required |
Community Care Partnership of Maine is looking for a Contract Manager! As Contract Manager, you will oversee all administrative components of CCPM contracts – everything from execution to negotiation to renewals. You will have a constant pulse on active licenses and agreements, managing contract relationships and details. We are looking for a highly organized, effective communicator who is skilled in collaborating across platforms to ensure contract operations are compliant and mission-focused. Ready to make amazing things happen? |
08/0282021 |
Director of Quality and Care Management | Coeur d'Alene, ID |
Kootenai Health is hiring a Director of Quality and Care Management for Kootenai Care Network! Do you thrive on analyzing and managing clinical and non-clinical Quality initiatives and activities within a clinically integrated health network to achieve transformational and sustainable improvements in outcomes? If so, our Director of Quality and Care Management is the perfect fit for you! As the Director of Quality and Care Management, your core responsibilities include:
|
07/29/2021 |
President, Kootenai Care Network | Coeur d'Alene, ID |
Kootenai Health in Coeur d'Alene, ID is seeking the next President of their Clinically Integrated Network - Kootenai Care Network (KCN). KCN has developed sophisticated population health capabilities to successfully manage risk and deliver greater value to the people they serve of Northern Idaho. Today KCN has over 700 providers and 8 hospitals with 60,000 covered lives. Kootenai Health is consistently recognized as a Gallup Great Workplace, with Magnet Hospital designation since 2006 and is a member of the Mayo Clinic Care Network. Today, the health system has 4,000 employees, over $700 million net revenue and an "A" rating by S&P. The ideal candidate will have prior experience with a clinically integrated network, or leading value-based care initiatives in an integrated delivery system, health plan or medical group. The President will oversee operations of the network, payer contracting, data analytics and care management infrastructure in evolving payments models that include global risk capitation. Expressions of interest or questions should be submitted to Mark Andrew or call (949) 797-3528. |
0728/2021 |
Director of Performance Insights | New Orleans, LA |
Education Required - Bachelor’s degree in business, analytics, healthcare, or related field.Preferred - Master’s degree. Work Experience Required - 8 years related work experience; 3 years of supervisory. Preferred
Knowledge Skills and Abilities (KSAs)
Job Duties
Apply Now or send your resume to [email protected] |
07/26/2021 |
Executive Director, Network Engagement and Performance | Altamonte Springs, FL |
The Executive Director, Network Engagement and Performance provides leadership, strategic direction, and operational execution to AdventHealth Population Health , the Clinically Integrated Network (CIN) for Central Florida Division (CFD) Population Health is defined as “A model that delivers high quality, people-centered care through highly efficient and effective processes at every venue of care throughout a highly aligned, meaningfully connected ecosystem throughout a patient’s lifetime.” This position is accountable for the strategy and operational delivery of established structures, protocols and processes that drive the performance of the network in our value-based arrangements defined as lowering total cost of care below contracted targets and exceeding quality and experience requirements. Drives performance in quality, utilization, and service delivery expectations which include connected, convenient and complete care. Accountable for creation of, deployment of and operational execution of protocols and systems including but not limited to analytics, care management, meaningful interoperability, communications, education, and CDI. Adheres to the AdventHealth Corporate Compliance Plans and to all rules and regulations of applicable local, state, and federal agencies and regulatory bodies. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all. |
07/22/2021 |
Data Analyst / Senior Data Analyst | Remote |
Integrated Care Solutions (ICS) is a care management company who seeks to transform healthcare by providing patient’s navigating through the healthcare system a superior experience and the highest quality outcomes by providing exceptional care management and seamless coordination of care throughout the post-acute care and home and community-based care continuums within the lowest cost possible. Responsibilities
Please submit resume to Colin Yee. |
07/16/2021 |
Manager, Population Health and Value Based Care | San Antonio, TX |
UT Health San Antonio is hiring a Manager of Population Health and Value Based Care to oversee the Quality Department’s care management services, including case managers and community health workers. The manager ensures patients receive the proper care and service from the case manager they are assigned to. Job Duties
Knowledge, Skills, and abilities
Education
Experience
Licenses and Certifications
|
07/09/2021 |
Director of Payor Strategy and Program Performance | Coeur d'Alene, ID | Kootenai Health, located in Coeur d’Alene, ID, is hiring a Director of Payor Strategy and Program Performance! If you aspire to identify and develop contemporary contracting strategies for Kootenai Health and Kootenai Care Network with a predominant focus on value-based care while transitioning from traditional contracting methodologies - Kootenai Health is seeking your visionary leadership to partner with the Kootenai Care Network! As the Director of Payor Strategy and Program Performance, your core responsibilities include:
If you have questions, please contact Kelly Wolfinger. We look forward to getting to know you better! |
07/02/2021 |
VP, CHS Operations - North Region | Remote or Tampa, FL or Charlotte, NC |
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07/01/2021 |
Associate Chief, Value Based Care Operations | Cleveland, OH | The Associate Chief of Value Based Operations leads the value-based functions within Community Care. Oversight includes network navigation, leadership of IT enablement and analytics, care model innovation and design, and clinical contracting. This role provides strategic leadership and oversight of the transformation necessary to manage patient populations for success in a risk-based environment. Partners with other key clinical operations and network integration leaders to execute on care delivery changes.
Primary Responsibilities:
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06/15/2021 |
Director of Education | Remote |
The Director of Education designs content and format for educational programs that meet the ongoing learning needs of accountable care organizations (ACOs) and other value-based care programs. In addition to developing content for well-established events such as conferences, boot camps, and webinars, the director will develop new activities such as learning collaboratives. This position works closely with NAACOS staff and leadership in developing educational programs, and coordinates with NAACOS members to learn about and address their educational needs. This position will also monitor the NAACOS listserv to obtain insight into member needs and to ensure that the listserv is generating valuable exchange among members. This is a new position that will allow for the incumbent to grow by expanding the association’s educational portfolio to evolve with value-based care. Essential Functions
Competency
Work Environment
Required Education and Experience
Email cover letter and resume to [email protected] |
05/25/2021 |
Director of Pharmacy Services | High Point, NC |
CHESS Health Solutions is a rapidly growing physician-led company owned by Wake Forest Baptist Medical Center and Laboratory Corporation of America, empowering clinicians and health systems make the transition to value-based medicine through innovative, team-based solutions, implementing care models that address the needs of the sickest patients while aligning clinical goals and financial goals to create more effective care methods and pathway. The Director of Pharmacy Services will perform the duties of a Clinical Pharmacist Practitioner while working with the physicians and staff of various CHESS Value Partners, consisting of health systems, hospitals and physician networks, to provide pharmacology education, disease state education, direct patient care, and medication management to improve the health status of the patients served. High Point, North Carolina, a beautiful and affordable community in the Piedmont Triad features easy access to Charlotte, the Blue Ridge Mountains and Atlantic coast beaches, and vibrant arts and restaurant scenes. There is the potential to work remotely with regular travel to our HQ and clients. Requirements Education
CHESS Health Solutions offers a very competitive compensation package including: base salary, incentive bonus, comprehensive benefits and paid relocation. CONTACT: [email protected] |
05/25/2021 |
Executive Director Population Health Services Organization | Kansas City, KS/MO and Remote | Centrus Health is a clinically integrated network that includes Kansas City’s leading health systems: AdventHealth Shawnee Mission, the North Kansas City Hospital, and the University of Kansas Health System. Centrus Health is a leader in value-based care with more than 165,000 patients under management. Centrus Health provides people, process, and technology to support a provider network of more than 2,000 physicians. The Executive Director serves Centrus Health through effective management and leadership. Executive Director coaches, mentors, and leads staff in the daily operations of the population health services organization. PRINCIPAL DUTIES AND JOB RESPONSIBILITIES
KNOWLEDGE AND SKILLS REQUIRED:
KNOWLEDGE AND SKILLS PREFERRED
EDUCATION AND EXPERIENCE REQUIRED
EDUCATION AND EXPERIENCE PREFERRED
REQUIRED COMPETENCIES
Qualified Candidates please email resume to Jill Watson. |
05/20/2021 |
Vice President, Partner Engagement | Northeast US / Remote |
The Vice President, Partner Engagement is the market leader responsible for the successful delivery of services across a set of regions and clients with a focus on overall operations and P&L achievement. The Vice President, Partner Engagement functions as the regional account interface and drives the management of market strategy, product expansion, and growth opportunities, as well as Network/Provider relations. The position partners with both business and product development and focuses on delivering consistency in services. The Vice President, Partner Engagement works closely with Clinical Operations to drive quality performance and results. This critical role is ultimately accountable for creating and driving the market strategy to deliver operational, quality, and financial performance.
Please send letter & resume to [email protected] |
05/19/2021 |
Chief Medical Officer, Kootenai Care Network | Coeur d'Alene, ID |
Kootenai Health (KH) seeks a contemporary and experienced population health physician executive to serve as the Chief Medical Officer, Kootenai Care Network (KCN).Kootenai Health (KH) launched its clinically integrated network in 2016 with a focus on new payment and contracting methodologies emerging in the market. Today KCN has over 700 providers and 8 hospitals. The Network will expand to 60,000 covered lives as of July 2021. Kootenai is a rapidly growing regional health system consistently recognized as a Gallup Great Workplace Award recipient, Magnet Hospital designation since 2006 and is a member of the Mayo Clinic Care Network. Today, KH has 3,500 employees, over $700 million net revenue and an "A" rating by S&P.The CMO will be a strategic leader providing the vision to guide and direct a Clinically Integrated Network around its value-based care and quality initiatives.Coeur d’Alene is situated 30 miles east of Spokane on beautiful Lake Coeur d’Alene recognized as one of the Northwest’s most desirable communities and an increasingly popular destination. |
05/12/2021 |
Senior Director Payment Innovation | Cleveland, OH |
Serves as the key finance leader responsible for overseeing the development, implementation and ongoing financial performance monitoring of new value based financial vehicles and/or programs (e.g., MSSP, CMS BPCI, commercial bundles). Serves as key finance liaison with the offices of strategy, clinical transformation, the quality alliance and the department of Market and Network Services in the deployment of financial vehicles such as alternative payment models, population health risk products and associated platforms. Responsibilities:
Apply Now! |
05/05/2021 |
Medicare Product Manager | Remote - Based in MA, NC, AZ |
As a member of the Payer Operations team, the Manager, Medicare Operations will be a key team member that has deep experience with Medicare programs. The Manager will support, guide and coordinate operational processes associated with governmental programs including traditional Medicare and direct contracting programs Specific Responsibilities:
Apply Nowor reach out to Valerie Russell |
05/13/2021 |
Manager, Population Health Modeling and Analytics | Coeur d'Alene, ID |
Kootenai Health, located in Coeur d’Alene, ID, is hiring a Manager of Population Health Modeling and Analytics! In your role as the Manager of Population Health Modeling and Analytics, you will be responsible for managing financial, clinical and population health analytics for the clinically integrated network and facilitating the delivery of routine and ad hoc reporting utilizing knowledge of information systems, healthcare data, and decision support applications. You will serve as a trusted thought partner for leadership, collaboratively lead the development and execution of value-based analytics in support of contracting and performance management, leads projects in a matrixed environment while partnering with clinical, technical, network, and other stakeholders, and be responsible as the administrative lead or support for various committees. In your role as the Manager of Population Health Modeling and Analytics at Kootenai Health, you will have the opportunity to take pride in being a part of a healthy, growing, and high-functioning Magnet organization as you work to enrich the lives of those around you. Apply Now! |
4/30/2021 |
Manager, Government Programs | Dallas, TX |
Leads government program operations and performance for Baylor Scott & White Health's Accountable Care Organization including but not limited to MSSP, Medicare Advantage, Exchange, and BPCI-A. Responsible for understanding value-based programs and policy changes. Will work collaboratively with system departments such as legal, compliance, marketing, analytics, government affairs, quality and care management. Will also work directly with the system health plan and medical group on operations and value-based care performance opportunities. Apply Now! |
04/28/2021 |
Manager, Clinical Operations and Integration | Fort Lauderdale, FL |
Serves in leadership role in the transformation of clinical care and clinical process improvement with physician members of the ACO and is liaison with the Information Technology department and payers regarding reporting and analytic needs. This position is responsible for ensuring reliable and actionable data is provided to physician practices for delivery of quality patient care. Responsibilities include writing and monitoring of policies and procedures to create and maintain clinically integrated networks, choosing quality metrics and developing strategies to meet metrics while improving health of the population. Responsible for providing leadership and representation on analytic requirements for various stakeholders to improve provider coordination and decrease population care gaps.*Bachelor’s Degree in formal four-year program in Informatics, IS, Computer Science or Nursing*Five years of related experience in informatics or care coordination*Process Improvement certification preferred. Use keyword ACO to locate the position and Apply Now! |
04/23/2021 |
ACO/Population Health Analyst | Florence, SC |
Understanding of population health analytics, and claims based data systems and measures. Uses ACO’s claim data warehouse, and reporting systems to provide clinical and claims related reporting and analytics.· Provide support data integrity that drives operations, financial and quality queries.· Develops trend analysis reports to monitor performance indicators to compare with internal and external benchmarks; uses this data to assist leadership in decision-making, planning and implementing performance improvement strategies.· Works with team to identify research, gather and analyze data from multiple sources to compare, contrast and create information.· Maintains dashboards on quality, financial information outcomes, population health management (PHM) measures, and other metrics.· Tracks and analyzes financial models, shared savings program methodologies, strategic deliverables and operational milestones of project Ideal Candidate:
Required Education:· Bachelor's degree in business administration, finance, healthcare administration or related field. |
04/21/2021 |
Medical Director | Gainesville, FL |
GatorCare has retained WittKieffer to assist in the recruitment of a Medical Director. This is a unique physician leadership opportunity at a direct service organization, formed in 2013, that serves the nearly 21,000 employees and their dependents of the University of Florida and University of Florida Health and Affiliates. GatorCare currently has 45,000 plan members across the enterprise. UF Health’s 2019 operating revenues exceeded $3.7 billion with 105,000 inpatient admissions, 336,000 emergency room visits, 78,000 surgical procedures (inpatient and outpatient combined), and 1,527,000 outpatient visits. Reporting to the president of GatorCare Health Management Corporation, the Medical Director will serve as an essential liaison and promote strong communications among plan staff, providers, vendors, and plan members. The new leader will provide clinical oversight for resource utilization, quality, pharmacy, operational effectiveness, and regulatory compliance. The ideal candidate will be a visible and engaging Board-certified physician, M.D., or D.O., with a strong clinical background and a current Florida license or the ability to obtain one. Prior commercial health plan experience overseeing medical management functions is ideal. |
04/15/2021 |
Director of Population Health Services | Tampa, FL |
The Director of Population Health Services is a highly visible and the day-to-day operator for facilitating and implementing Kidney healthcare reform efforts with providers. The Director oversees effective implementation and the daily operations of the organization’s population health model in support of the Kidney Care First (KCF) and Comprehensive Kidney Care Contracting (CKCC) Graduated, Professional, and Global Models– in which dialysis facilities, nephrologists, and other health care providers manage care for ESRD beneficiaries and beneficiaries with chronic kidney disease (CKD) stages 4 and 5. This position is responsible for successful implementation, execution and evolution of Healthmap’s provider facing programs. The Director oversees and promotes data-driven approaches to improving cost, utilization, and quality of care. |
04/13/2021 |
Vice President of Clinical Operations |
High Point, NC |
Due to our continued growth, CHESS Health Solutions is seeking a Vice President of Clinical Operations (VPCO) to join our team. We are a rapidly growing physician-led company owned by Wake Forest Baptist Medical Center, and Laboratory Corporation of America, empowering clinicians and health systems to make the transition to value-based medicine. Reporting directly to our Chief Medical Officer, the VPCO is accountable for performance, vision and strategy for our care management and pharmacy services teams as they assist our provider systems in maintaining high performance in CHESS value-based contracts. The VPCO will advise clinical team directors on the development of EBM, care plans, polices, practices, and systems to monitor and implement quality control standards and measurements while ensuring compliance with regulatory agencies’ standards and requirements. This position is based at our headquarters in High Point, North Carolina, a beautiful and affordable community located in the state’s Piedmont Triad region featuring vibrant arts and restaurant scenes, a wide variety of outdoor recreation opportunities and easy access to Charlotte, Winston-Salem, the Blue Ridge Mountains and Atlantic coast beaches. The ideal candidate for this role will possess the following qualifications:
Health Solutions offers a very competitive compensation package including: base salary, incentive bonus, comprehensive benefits and paid relocation. CONTACT: Michael Ginsberg - Executive Talent Consultant |
03/30/2021 |
DCE Director of Operations |
Tampa - Sarasota, FL |
Position responsible for operational and financial performance for two DCEs, including the following key areas:
The DCE Director is expected to seek and provide best practices from/to peer group. Each DCE may pilot innovative care models, tools and/or technologies to achieve effective and efficient care. Role requires demonstrated excellence in creating buy-in and engagement with Participant Providers and Preferred Providers and their support staff, and with community constituents. The DCE Director will work closely with value-based care departments such as Care Coordination, Patient Engagement, Quality, Risk Adjustment and with the Operations Team and Compliance Team. Required: Bachelor's Degree in Health Care Administration, Business Administration, Marketing, Health Service Preferred: Master's Degree in a related field Required - 5+ years of experience in managing strategy, implementation and optimization of healthcare practice operations OR Required: 5+ years of experience in managing provider-facing (e.g., physician, hospital, etc.) communications, provider relations OR Preferred: 5+ years of experience with health plan and/or medical practice with Medicare Advantage or with CMS program such as ACO |
03/25/2021 |
Senior Associate |
Alpharetta, GA and Nashville, TN |
Coker Group is a national healthcare advisory firm seeking additional expertise to join our Finance, Operations, and Strategy team. If you're ready to apply your learned analytical skillset and healthcare knowledge to daily work, while continuing to build this foundation and also begin to drive projects forward, the Senior Associate role is a great launch point. The Senior Associate will be primarily responsible for performing the detailed work on client engagements, functioning, and thinking like a “strategist” based on the direction from the Manager and Vice President/Senior Vice President on projects. The Senior Associate’s role on projects will be focusing on client interaction, helping establish the direction of the project, and having the deliverable prepared with minimal review and edits needed. The Senior Associate is expected to have foundational knowledge with some expertise in the subject matters at hand and be able to instruct Associates, where necessary. The Senior Associate should know what questions to ask, where potential problem areas exist and what is needed to move a project forward. Further, the expectation is that the deliverable coming from the Senior Associate is near-final form. The Senior Associate should be able to articulate fully all facets of the deliverable and the rationale for the work performed/decisions made in the deliverable. Generally, the mindset of the Senior Associate is expected to be one of “making it better”; taking ownership of their work, development of their subject matter expertise, and looking for ways/areas to make additional contributions to the success of Coker. |
03/16/2021 |
Director, Data & Analytics |
Remote |
Integrated Care Solutions (ICS) is a care management company who seeks to transform healthcare by providing patient’s navigating through the healthcare system a superior experience and the highest quality outcomes by providing exceptional care management and seamless coordination of care throughout the post-acute care and home and community-based care continuums within the lowest cost possible. ICS is currently seeking a Director of Data & Analytics. Responsibilities
Qualifications
Preferred Skills and Competencies
Please submit resume/CV to Colin Yee at [email protected]. See the full job description at ICS' LinkedIn |
03/15/2021 |
Director of Clinical Research |
Remote/Philadelphia | We are looking for a talented and passionate clinical researcher who will lead the design and execution of research studies (both ongoing and new) to validate the benefits of using NeuroFlow’s products. You will work collaboratively with our team and scientific and clinical advisors to strategize ‘quick wins’ and longer-term research projects, ranging from partnering with our existing customers in clinics and health systems to fully outsourced studies that partner with academic institutions. You will apply creative problem solving to inform how we can most effectively and efficiently demonstrate improved engagement, clinical outcomes, and cost savings through publishing peer-reviewed articles. By building a strong foundation of evidence-based support for NeuroFlow’s approach to promoting behavioral health access and engagement, you will make a significant impact on overall business growth. | 02/23/2021 |
Director of Partnerships |
Remote/Philadelphia |
We’re looking for a talented and passionate business development professional who will help fuel our rapid growth as the leader in integrated behavioral health technology. Your focus will be on expanding footprint and capabilities in the market through strategic partnerships to support our business goals. You will work directly with our executive team to define short- and long-term strategies and then collaborate with internal and external stakeholders to achieve these goals. |
02/23/2021 |
DIRECTOR OF PHARMACY SERVICES |
High Point, NC |
CHESS Health Solutions is seeking a Director of Pharmacy Services. We are a rapidly growing physician-led company owned by Wake Forest Baptist Medical Center, and Laboratory Corporation of America, empowering clinicians and health systems to make the transition to value-based medicine. Together, CHESS and its value partners transform care through innovative, team-based solutions, implementing care models that address the needs of the sickest patients while aligning clinical goals and financial goals to create more effective care methods and pathways to improve patient outcomes. The Director of Pharmacy Services will perform the duties of a Clinical Pharmacist Practitioner while working with the physicians and staff of various CHESS Value Partners, consisting of health systems, hospitals and physician networks, to provide pharmacology education, disease state education, direct patient care, and medication management to improve the health status of the patients served. This position is based at our headquarters in High Point, North Carolina, a beautiful and affordable community located in the state’s Piedmont Triad region featuring all four seasons, easy access to Charlotte, the Blue Ridge Mountains and Atlantic coast beaches, and vibrant arts and restaurant scenes. There is the potential to work remotely with regular travel to our HQ and clients for the right candidate. CHESS Health Solutions offers a very competitive compensation package including: base salary, incentive bonus, comprehensive benefits and paid relocation. Contact- Michael Ginsberg - Executive Talent Consultant, Wake Forest Baptist Health |
02/04/2021 |
CCM Client Success Manager - Texas Panhandle Clinical Partners ACO |
Amarillo, TX |
The CCM Client Success Manager will champion the chronic care management (CCM) strategic approach to help improve the customer service focus in Care Coordination and Customer Service within the Texas Panhandle Region. The Manager will communicate and coordinate initiatives including overall management plans related to chronic care management, remote patient monitoring (RPM) and other value-add initiatives to deliver and ensure outstanding customer service to internal and external customers, maximize customer experience, and improve effectiveness and efficiencies. Focus will include updating metrics and deliverables in order to exceed expectations. Ensures that service targets, operational goals, implementations, communication and collaboration targets are met. The Manager is experienced in implementing innovative and results-focused customer service process improvement initiatives to drive overall CCM and RPM business performance.The Manager will represent TPCP ACO and its affiliates as a Customer Service Champion and will have accountability for partner and provider retention. Responsible for developing and implementing proactive initiatives to drive physician/partner engagement effectively and efficiently. |
02/04/2021 |
ACO Project Manager |
Reno, NV or Remote/WFH |
Prominence ACO Management Services supports 7 MSSP ACOs across the nation. We are seeking an ACO Project Manager to elevate value-based care initiatives across our ACOs: California Clinical Partners, Doc ACO, GW Health Network, Silver State ACO, South Texas Clinical Partners, Texoma Clinical Partners, and Texas Panhandle Clinical Partners The Accountable Care Organization (ACO) Project Manager is part of a centralized team providing project management leadership and coordination of ACO-oriented projects. The Project Manager is responsible for gathering and validating requirements, coordinating project tasks, regular communication to project stakeholders, identifying appropriate resources needed, and developing schedules to ensure timely completion of project. The position supports but is not limited to, complex development and implementation of significant initiatives within the organization in support of Senior Management. The Project Manager also provides expertise in project planning, execution, and monitoring. Oversees and manages the operational aspects of assigned projects and maintains a project management framework that enables a project core team to successfully execute projects. Maintains and analyzes project schedules and prepares regular status reports for management and key stakeholders. Tracks project risks, opportunities and issues in order to develop resolutions to meet quality and timeline goals and objectives. |
01/28/2021 |
Director, Clinical Integration Quality |
Glendale, CA (telecommute considered) |
This role has direct oversight for quality performance in California’s Clinically Integrated Networks (CINs) and Accountable Care Organizations (ACOs), including the Dignity Health Care Network (statewide ACO) and serves as a key leader for Quality to ensure high performance on value based agreements. The Director will serve across multiple markets and will work in close partnership with the quality teams of Dignity Health Medical Foundation and Dignity Health MSO as well as Physician Enterprise and Population Health to implement the quality strategy to ensure alignment, efficiency and a positive experience for providers and patients. The Director leads and facilitates performance improvement efforts with a focus on independent providers, directs data analysis and reporting, monitors performance and looks ahead to mitigate risks. Working with leadership of Clinically Integrated Networks (CINs), Medical Groups and Division leadership, the Quality Director ensures clear definition of success measures, actively collaborates on financial analysis and is able to communicate about programs effectively to a variety of audiences and stakeholders. Reports to CIN leadership and collaborates closely with Payer Strategy and Relations (PSR) and clinical and quality leadership across the enterprise. Minimum Qualifications:-Deep expertise in Quality and Managed Care in California.-Experience designing and leading clinical quality improvement programs-Understanding of CMS and commercial value based programs and initiatives, including reporting requirements-Strong analytical acumen-Advanced Degree Preferred Qualifications: RN license strongly preferred- Medicare ACO, CIN quality experience strongly preferred.- Experience in value based quality programs strongly preferred.- Experience in an outpatient/ambulatory/medical group environment preferred.- Ability to work in a matrix organization preferred. |
12/21/2020 |
Market VP, Medical Operations |
Little Rock, AR |
Arkansas Health Network (AHN), a physician-driven, Clinically Integrated Network (CIN) spanning across the state, announces the recruitment of a Market VP Medical Operations to serve as a key member of their management team to provide leadership in advancing Arkansas Health Network’s clinical programs. Responding to the transformation of health care, in 2014 CHI St. Vincent collaborated with integrated and community-based physicians to form AHN to more effectively manage the health of populations and improve the coordination of care through shared clinical information and common goals. Qualifications
To learn more, please contact Val Stayskal directly at [email protected] or 602-406-7928. View the position and apply today! |
12/07/2020 |
Director of Operations |
Orlando, FL |
Florida Care Partners is a Florida statewide (CIN) that holds commercial and Medicare Advantage value-based health plan contracts and supports physician practices. Responsible for developing, implementing, executing the Clinical Integration program in collaboration with the VCP Executive Director, Medical Director, and Board of Managers. Administrative lead for the VCP Quality Committee, Joint Operating Committees with payer partners. Program champion for clinical leaders of practices participating in the VCP CIN & ACO. |
11/19/2020 |
Director of Value Based Care |
Plano, TX |
The Director, Value‐Based Care leads and supports value‐based care initiatives across USRC. This position will work directly with USRC’s physician partners and USRC clinics around the country to implement & manage kidney focused, value‐based care initiatives. This work entails program implementation, work plan development, project management, and data‐driven performance improvement. In addition, this position will be support and lead the development of USRC’s value‐based care products, capabilities, and services. This product & capability development work includes managing USRC’s relationships with external strategic partners and managing internal projects related to USRC’s value‐based care product & capability offering. |
11/18/2020 |
HCS Clinical Director Population Management |
Morrisville, NC |
Joining UNC Health Care system means you’ll become part of an inclusive organization with a mission to improve the health and well-being of the diverse communities we serve. Responsible for Population Management program development for UNC HCS Ambulatory Services. Job Responsibilities:
Qualifications: Education:
Experience: Requires seven (7) years of related experience, with a minimum of five (5) years health care management experience; experience in project management, quality improvement processes, population management preferred. Questions? Please connect with Executive Recruiter, Melanie Miller or Apply Now! |
10/20/2020 |
Director of ACO Operations |
Richmond, VA |
Do you have a passion for healthcare and helping others? Do you enjoy working in a fast-paced, patient-centered environment? Jump-start your career in our Quality department. Submit your application today! Our Quality teams are a committed, caring group of colleagues. We have a passion for creating positive patient interactions. If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, and employee stock purchase program. We would love to talk to you about this fantastic opportunity. Virginia Care Partners is an innovative, physician-led network collaborating to change the way healthcare is delivered in the Richmond and Tri-cities area! Network members include primary care and specialty physicians and the nationally recognized HCA Virginia facilities. Measureable quality care; patient, physician and staff satisfaction; and efficient, coordinated care with the patient at the center of care are goals of the network. Network physicians, who want to meet the demands of an industry that is moving from fee for service to fee for value, are committed to improving care delivery that enhances the health and lives of our patients.
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10/.0/2020 |