Staff VP Prospective Risk Adjustment

Staff VP Prospective Risk Adjustment

Instill governance to ensure complete and accurate diagnosis codes are identified and submitted to CMS for all members for risk adjusted payment.

  • Ensure timely, accurate, and complete submission of risk adjustment data to CMS and reconciliation of plan payments.

  • Oversee internal and vendor processes, controls, and reporting, ensuring effective processes are in place throughout the organization.

Chief of Clinical Services

Chief of Clinical Services

Job Description

Responsible for providing strategic vision, leadership, and management to ensure the organization has proper application of evidence-based and safe clinical practices, the effective measurement of clinical outcomes, clinical performance improvement initiatives, and the highest quality patient experience with fiscal accountability.

Sr Consultant, Actuarial Services

Sr Consultant, Actuarial Services

Our consultants are seeking a highly motivated and experienced actuary to join our fast-growing organization. The actuary will be a key person on the Accountable Care team that analyzes various sources of patient health and claims data to help the business understand, forecast and manage the risk position of various value-based products (MSSP, ACO REACH, Medicare Advantage).

Environment Health & Safety Director (EHS Director)

Environment Health & Safety Director (EHS Director)

This position will be responsible for leading a team and overseeing, directing, and managing the EHS programs for our manufacturing plants located in the U.S. This is a multi-faceted role which encompasses the management and implementation of quality systems; development and implementation of quality processes, procedures, and tools; management of internal and external quality audits; and supplier management.

Chief Executive Officer

Chief Executive Officer

Qualifications:

• Master's Degree in related field preferred, with related background and work experience required.

• Proven leadership experience in a senior management role within the nonprofit or healthcare sector.

• Possess skills related to leadership and management; strong people skills.

• Strong financial management skills, including budget development and fundraising experience.

• Culturally knowledgeable and sensitive; able to work with diverse staff and clientele. Commitment to diversity, equity, and inclusion in both internal and external practices.

Internal Medicine Physician

Internal Medicine Physician

Qualifications • Must possess a Medical Board license MD/DO/RNP (State specific) in Internal/Family Medicine/Adult Gerontology/Infectious Disease • Valid DEA & Furnishing license • Comfortable with seeing up to 15-18 patients per day • Prior experience or interest in treating and diagnosing HIV/AIDS clients in an outpatient Primary Care setting • Must obtain AAHIVM Certification within 18 months of hire • Current CPR/BLS (Cardio Pulmonary Resuscitation) is required

Medical Directors

Medical Directors

Qualifications

  • Must possess a Medical Board license MD/DO/RNP (State specific) in Internal/Family Medicine/Adult Gerontology/Infectious Disease

  • Valid DEA & Furnishing license

  • Prior experience or interest in treating and diagnosing clients in an outpatient Primary Care setting

  • Must obtain AAHIVM Certification within 18 months of hire

  • Current CPR/BLS (Cardio Pulmonary Resuscitation) is required

Sales Director Life Sciences (Remote)

Sales Director Life Sciences (Remote)

Our consultants are recruiting for a sales professional with 10 years of IT Sales experience and strong relationships in the Life Sciences industry. Additionally, a deep understanding of Information Technology sales and technology and/or professional services sales. Specific client knowledge of the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise…

Sales Director (Remote)

Responsibilities

·  Hunter role. Drives services sales strategies that help drive exponential sales growth. Requires strategic agility to interface and successfully influence multiple C-level executives within the customer organization

·  Sells to large national and regional accounts 

·  Sells digital and managed services, full IT Outsourcing solutions, application services and industry vertical solutions to include things like digital solutions, mobile solutions, transformational services, managed services, application management/support.

Vice President Talent Acquisition

Our consultants are currently recruiting nationally for a Vice President of Talent Acquisition. Committed to going above and beyond and striving to acquire and retain the most unique and unprecedented talent in the loss prevention industry. The Vice President of Talent Acquisition, working out of Plano, TX and reporting to the Chief People Officer will help to align people, process and technologies using data from our people platforms to better manage our leadership effectiveness, and both our candidate and employee experiences.

Healthcare Provider IT/Digital Solutions Sales Sr. Director (remote)

The ideal candidate has 6+ years of IT Sales experience and strong relationships in Healthcare Provider industry. Additionally, a deep understanding of Information Technology and Digital Solutions sales and technology and/or professional services sales.  Specific client knowledge of the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most

Senior Sales Director

The newly formed Digital Transformation team is on the move to grow and expand the success of our clients.  The Digital Transformation team is taking on the hardest challenges for our clients and helping re-imagine how the organization helps solve them.  If you are cloud-savvy, passionate about clients, and driven to success with an entrepreneurial mindset, this is your role.  You will be helping build the next generation of the success of the cross-industry teams and strong reputation.

CFO Solutions & Alignment Leader

This position is a business leader with broad Enterprise knowledge that supports the CFO with alignment and solutions across the company. Ensures the strategic intent is understood by the business and achieves an appropriate balance between the development of long-term, integrative capabilities and short-term, operational and project priorities. Influences across a team of professionals in Finance leadership in execution of fast-paced work efforts that meet or exceed business needs and expectations.

Cloud Consultant Senior Architect

The Sr. Principal Consultant is integral to the on-going technical solution deployment and technical application support of professional services (PS) capabilities. This includes five key areas:

  • Demonstrates product expertise in most Company Cloud products

  • Provides top quality service engagements for large or strategic customers or other accounts serving as the lead technical architect, advisor and/or engineer

  • Follows PS implementation standards

Medical Director

Medical Director

We are currently recruiting globally for a family practice or internal medicine physician at a HIV primary care outpatient facility. You will be seeing an average of 18-20 patients per day. There are great opportunities for growth and leadership. You will be working alongside a full team of healthcare professionals. The practice is also willing to train the physician as long as they are interested and comfortable providing primary care to HIV/AIDS patients. You will need to be board certified or board eligible if you are a resident. H-1B visa holders are also encouraged to apply.

Customer Fulfillment Representative

To provide a high level of customer care utilizing a collaborative team sales process within assigned customer base, in addition with developing new opportunities, necessary to satisfy company revenue growth and profitability objectives.

Nurse Manager

As a member of the management team in the Healthcare Center, the Nurse Manager contributes to the 's mission by treating each patient, client or customer with the highest level of respect and integrity. Using their high level of scientific knowledge, the Nurse Manager has the ability to analyze information collected pertaining to the patient and make decisions with regards to condition updates, and follow through,or initiating discussions about tests, procedures, and outside referrals. By coordinating the timeliness of these services, the Nurse Manager can help ensure the patient is receiving the highest quality of care that enhances the reputation of the organization,and encourages clients to continue to seek medical treatment from Healthcare Centers.

Physician

The role of a Physician is vital to helping with our mission to provide prevention outreach to our clients. Within their duties, this position maintains standards for productivity set; such as adequate provider staffing in the healthcare center to ensure the smooth flow of patients. In addition, the Physician is responsible for projecting and integrating the Mission and Core Values of the organization.