Lead transformative care management initiatives as our Manager, Care Management who will directly improve patient outcomes across Maryland and Delaware markets. As Aledade's foremost expert on the Maryland Primary Care Program (MDPCP) and AHEAD Model programs, you'll shape care management strategy while guiding an interdisciplinary team toward measurable market performance goals. Reporting directly to the Market President, you'll serve as the strategic bridge between cutting-edge CMS Innovation programs and real-world practice success, ensuring compliance while coaching partner practices to thrive in value-based care environments.
The Program Director will build best in class teams to deliver a successful Population Health Management Program (SPHMP) across multiple partners/locations for all stakeholders - individual members, health plan partners, and Mindoula. They will attract, train, and motivate a talented team to implement and deliver Mindoula’s SPHMP and the expected outcomes. Implementation and delivery includes executing on all contractual, legal, and regulatory requirements, as well as delivering on partner and company clinical and business goals and objectives. The Program Director also will provide clinical oversight to the team, to ensure that all interventions, interactions, and services are delivered to meet and exceed quality expectations.
Conduct prospective reviews of charge capture practices in the clinical departments and report findings, provide education to staff responsible for charge capture, coordinate charge capture improvement tools in collaboration with Revenue Cycle IT team, evaluate revenue impact, monitor ongoing compliance and expected versus actual revenue changes. Report potential compliance issues for further analysis and follow-up to the Compliance Department.
Join our client's team as a Clinical Director and AI Trainer, where you'll play a crucial role in advancing healthcare AI systems. Use your leadership and expertise in clinical operations to design AI models that enhance medical and health services management for leading organizations. This unique opportunity lets you shape the future of healthcare technology, working collaboratively and flexibly from any location.
Seeking a detail-oriented and tech-savvy Provider Maintenance / Network Specialist to join our growing team. In this role, you’ll manage the accuracy of provider data, support network updates, and ensure that claims process correctly through accurate provider and network configuration.
The Vice President of Care Transformation will lead a team to help customer organizations plan, build, and support Community Health Worker programs at enterprise scale using IMPaCT’s evidence-based infrastructure. Responsibilities include overseeing implementation, conducting gap analyses, defining key performance metrics, and supporting electronic health record integration and billing pathways. The VP will manage a growing team and ensure effective performance and account management.