Responsible for the end-to-end performance of assigned HEDIS measures, with a primary focus on achieving and sustaining 5-Star performance.
Translate data and chart findings into actionable insights for providers, ensuring that care gaps are clearly identified and surfaced through tasks or alerts within clinical workflows.
Partner cross-functionally with data, clinical, and provider engagement teams to ensure accurate reporting, efficient workflows, and optimal performance.
Counterpart Health transforms healthcare and improves patient care with their innovative primary care tool, Counterpart Assistant. They support PCPs to deliver improved outcomes to patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions, and is driving value-based care at the speed of software with Counterpart Assistant.
Monitor and interpret CMS, state Medicaid, and industry risk adjustment and quality regulations.
Provide SME guidance to Product, Sales, and Account Management on RA policy and program implications.
Partner with product teams to ensure solutions align with regulatory and audit requirements.
Cotiviti is a company that focuses on healthcare solutions. They offer a competitive benefits package to address a wide range of personal and family needs.
Senior leadership for enterprise clinical programs.
Accountability for clinical quality performance.
Translating clinical priorities into scalable operating models.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.