Drive operational excellence across provider risk adjustment, HCC coding, and value-based care programs while overseeing coding services delivered by domestic and global teams.
Serve as the primary strategic lead and escalation point for health plan and provider clients, maintaining accountability for service quality and client satisfaction.
Manage, mentor, and develop diverse coding teams across locations, ensuring coding activities follow organizational standards and regulatory requirements.
Our partner is a company that drives operational excellence in healthcare through risk adjustment, HCC coding, and value-based care programs. They are a senior leadership focused organization that manages coding services with diverse teams, emphasizing quality and compliance.
Lead operations of the CDI team for prospective and concurrent chart review, ensuring quality, accuracy, and compliance.
Coach and develop specialists through onboarding, training, performance management, and workflow improvement.
Partner with physicians and operational teams to sustain accurate CMS-HCC documentation and audit readiness.
Greenbrook Medical delivers high-touch, relationship-based primary care for seniors through neighborhood clinics. They are in a growth phase, backed by strong unit economics and a culture of Heart, Excellence, Accountability, Resilience, and Teamwork.
Manage quality initiatives and operational processes for value-based care programs. - Analyze data and support reporting functions across ACO programs. - Serve as liaison between providers, vendors, and internal stakeholders.
Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities, offering on-site primary care and Medicare Advantage plans. Founded in 2021, the company serves over 200,000 seniors across 32 states with a team of more than 1,000 clinicians and support staff, and was ranked #147 on the Inc. 5000 list.
Lead clinical quality, quality improvement, and risk adjustment programs in a managed care environment.
Analyze performance data to identify trends, gaps, and opportunities for improved care and cost reduction.
Provide people leadership, coaching, and development to clinical and quality team members.
Our partner is a healthcare organization focused on improving access, quality, and outcomes. They operate in a managed care environment with a collaborative, purpose-driven culture.
Architect and scale a unified Central Operations hub for dual-revenue engine optimization, including Fee-For-Service and Value-Based Care workflows.
Own ancillary services such as Medical Records, Lab Integrations, and Referral Management while driving facility partner onboarding and B2B integration.
Oversee telemedicine team deployment for footprint support and create executive dashboards to monitor provider productivity and operational outcomes.
Theoria Medical provides telemedicine and operational services to post-acute care facilities, including skilled nursing and assisted living communities. The company is scaling a centralized operations hub to support multi-state growth, though specific employee size is not disclosed.