- The University of Vermont Health Network (Colchester, VT)
- …payment reforms yet to be operationalized. The Analyst will work closely with the Director of Payment Reform and other OneCare finance and analytics team members to ... and the incumbent will contribute heavily to the success of the ACO and its payment reform programs.Major areas of focus and accountabilities include:Payment… more
- Christus Health (Santa Fe, NM)
- …of care coordination and population health programs. In conjunction with director will oversee planning, budget, and implementation of care coordination programs ... of data results related to all aspects of care coordination operations including; ACO care gap closures, CMS data metrics and documentation that supports contracted… more
- Universal Health Services (Laredo, TX)
- …and coordinates resources within and outside the ACO (as approved by the ACO Director ) to promote optimal health benefits and outcomes (both clinical and ... enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The ACO Nurse Navigator is a registered nurse who functions as a liaison… more
- University of Michigan (Ann Arbor, MI)
- … ACO ). This position willreport to the Chief Population Health Officer / Executive Director of POM ACO . The UM-H Population Health group is tasked with ... in value-based care initiatives for Michigan Medicine. The POM ACO is a group of physicians from multiple physician...for enhancing analytic and reporting processes to support POM ACO and UM-H Population Health programs + Work with… more
- Universal Health Services (Laredo, TX)
- …and coordinates resources within and outside the ACO (as approved by the ACO Director ) to promote optimal health benefits and outcomes (both clinical and ... patient experience. Learn more at: https://prominence-health.com/ Job Summary: The ACO LVN Navigator is a licensed clinical LVN who...clinical LVN who functions as a liaison between the ACO , the patient and the multidisciplinary healthcare team to… more
- Dartmouth Health (Lebanon, NH)
- Overview The ACO Compliance Program Analyst (the “Program Analyst”) is responsible for the day-to-day operations of the DH ACO Compliance Program. The Program ... as well as maintains the core elements of the ACO Compliance Program. The role will also administer oversight...deadlines and requirements are met and communicated to the director , leadership, providers, and departments as necessary. * Analyzes… more
- AdventHealth (Maitland, FL)
- …**The role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs, and advises members of the Case ... prevention measures for our contracted managed care payers. The Medical Director is responsible for providing physician review of utilization, claims management,… more
- Henry Ford Health System (Troy, MI)
- The Director of Risk Adjustment & Value Based Payment is an unparalleled opportunity with Henry Ford Health. This pivotal role spearheads strategic endeavors in risk ... the transition to value-based care. Join us in revolutionizing healthcare delivery! The Director of Risk Adjustment and Value Based Payment is responsible for Risk… more
- Humana (Jefferson City, MO)
- …of our caring community and help us put health first** The Director , Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other ... and agreements for the region of Kansas City and Nebraska. The Director , Provider Contracting requires an in-depth understanding of how organization capabilities… more
- Fairview Health Services (Maplewood, MN)
- **Practice Description** **M Health Fairview** seeks a Medical Director - Fairview Health Medical Group (FHMG) for Anesthesia at M Health Fairview St. John's ... Hospital. The Medical Director responsibilities will be at a .4 FTE. The...Record (EPIC). + As a Pioneer Accountable Care Organization ( ACO ), our providers use a **multidisciplinary team approach** in… more
- Provider Solutions & Development (Lynchburg, VA)
- …Psychiatrist to join a well-established Behavioral Health team as a Medical Director of Psychiatric Emergency Services in beautiful Lynchburg, Virginia. You will be ... part of a large, state-of-the-art facility that is part of Centra's ACO - a Population Health Services Organization that develops partnerships within the community.… more
- The Joint Commission (Oakbrook Terrace, IL)
- …The Team Lead for Standards Interpretation Group will assist the Senior Director of Standards Interpretation and Senior Associate Director of Standards ... and need for immediate threat declaration. 1. Provide input into Associate Director Performance Evaluations. 1. Provides guidance on and expert interpretation of… more
- Firefly Health (Watertown, MA)
- …mission, then we would love to hear from you. Description As the Medical Director , Value-based Care you will play a pivotal role in overseeing our clinical care ... clinical supervision and quality assurance in partnership with the Assistant Medical Director . + Working with General Counsel and Operations, ensure Firefly care… more
- South Middlesex Opportunity Council (Framingham, MA)
- …up to date + Attend level of care meetings with managed care entities and ACO 's + Work with Program Managers and billing department staff to submit and maintain ... casual. ORGANIZATIONAL RELATIONSHIP + Directly reports to the Division Director of Behavioral Healthcare. + Indirect reports of this...As part of the responsibilities of this position, the Director of Community Support Services will have direct or… more
- CVS Health (Columbus, OH)
- …has an exciting opportunity to join its leadership team as an Executive Director , Network Management supporting our Ohio and Kentucky markets for our Commercial, ... to develop, negotiate and manage complex Value Based and Accountable Care ( ACO ) relationships. + May oversee the negotiation, implementation, and management of VBC… more
- Universal Health Services (Temecula, CA)
- …Job Summary: The Southwest Healthcare team is seeking a Regional Director of Market Strategic Development who will develop and implement strategic ... with non-employed providers through alignment with UHS driven value-based care models ( ACO , CIN, IPA, etc.). + Builds community relationships to identify new ways… more
- CVS Health (New York, NY)
- …Aetna has an exciting opportunity to join its leadership team as an Executive Director , Network Management in the Downstate NY Market, which includes all of New York ... to develop, negotiate and manage complex Value Based and Accountable Care ( ACO ) relationships. + Represent the organization at related external provider meetings and… more
- Amentum (Louisville, KY)
- Amentum is seeking a Supply Chain Director to support contract efforts from either Louisville KY or Orlando FL. You will be the authorized representative for the ... management. + Experience with CPSR audits, FAR/DFAR regulations, and complying with ACO Consent processes + Service Contract Act experience + Experience with Maximo… more
- Prime Healthcare (Port Huron, MI)
- …and maintain desired outcomes. Coordinates and oversee projects leading to ACO development, including developing strategies to engage PHO partners. Develops and ... organizations strongly desired. #LI-MS3 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/159976/ director medical-group pho/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLake Huron Medical Group… more
- Diversicare Healthcare Services & Diversicare Ther (Wichita, KS)
- …Makers, Decision Influencers, and other Contacts as possible and appropriate, including ACO , BPCI, and community partners + Demonstrate loyalty and leadership with ... both customers and Diversicare team members + Thoroughly and accurately complete and/or submit any required reports and documentation + Consistently gather and analyze sales team reports from sales team + Identify opportunities for developing new business +… more
