The Compliance Audit Specialist executes medical chart audits, including documentation review, data testing, and the drafting of audit findings. They also track observation status and support the preparation of audit reports under the guidance of senior staff.
The specialist serves as an advanced resource for risk adjustment coding quality, documentation integrity, and operational effectiveness. They analyze complex coding scenarios, support staff development through coaching, and evaluate workflows to identify improvement opportunities.
The role involves leading end-to-end data science projects and developing advanced machine learning models to solve complex business and clinical problems. You will also serve as a primary subject-matter expert, providing technical guidance to the team and translating analytical findings into strategic recommendations for leadership.
The analyst manages end-to-end provider compensation calculations, including productivity models, quality incentives, and call pay. They also analyze performance data and contract terms to ensure compliance with regulations like Stark Law and provide reporting for leadership.
The Risk Adjustment Supervisor provides first-line supervision for coding specialists, monitoring quality and productivity while ensuring compliance with Medicare guidelines. They also lead training initiatives, conduct audits, and manage project deliverables to support the organization's risk adjustment program.
Perform day rounding duties for patients within the Collier market. Maintain a consistent 7 days on and 7 days off work schedule.
The AVP of Network Contracting sets the enterprise strategy for provider agreements, reimbursement models, and value-based care initiatives. They lead a multi-level team to ensure consistent delivery of high-quality contracts while advising executive leadership on market dynamics and network economics.
The specialist reviews medical records to assign and validate ICD-10-CM diagnosis codes to ensure accurate reimbursement and clinical documentation. They also collaborate with the MRA department to identify coding trends and communicate effectively with providers regarding documentation requirements.
The Clinical Pharmacist conducts medication therapy reviews, performs drug utilization reviews, and manages patient outreach to improve clinical outcomes. They collaborate with interdisciplinary teams to ensure safe, effective, and affordable medication use while supporting quality initiatives like Stars and HEDIS.
The Medical Coding Specialist will perform retrospective chart reviews, assign ICD-10-CM codes, and ensure documentation accuracy. They will also collaborate with providers and operational teams to improve risk capture and maintain coding compliance.
The Registered Dietitian provides evidence-based Medical Nutrition Therapy and develops individualized nutrition interventions for patients. They collaborate with an interdisciplinary team to support weight management and cardiometabolic health through virtual care platforms.
The Strategic Partnerships Manager will own and nurture critical partner relationships to drive growth within the integrated Ecosystem. They will act as the primary point of contact for partners, managing joint go-to-market initiatives and monitoring performance objectives.
The Nurse Practitioner provides comprehensive in-home patient care, including assessments, care planning, and acute interventions in collaboration with the medical director. They are responsible for managing patient care across providers, documenting medical conditions, and ensuring compliance with quality measures and billing protocols.
The Director of Strategic Finance will partner with senior leadership to translate complex financial and operational data into actionable growth strategies. They will lead the development of driver-based financial models, evaluate strategic investments, and optimize performance within value-based care arrangements.
The Regional Quality Lead serves as a subject-matter expert directing complex clinical quality initiatives across multiple care settings. They are responsible for establishing quality methodologies, interpreting regulatory requirements, and advising senior leadership on performance risks and improvement priorities.
Executes compliance audit activities including document review, data testing, and interviews with process owners. Drafts audit findings and supports the preparation of audit reports while maintaining organized work papers.
The Coding Educator provides interactive training and support to clinical and clerical staff regarding medical record documentation and coding compliance. They also analyze claims data and denial trends to develop educational materials and facilitate professional development for providers.
The Advanced Practice Provider is responsible for providing complex clinical medical management to patients in their homes to improve outcomes and prevent unnecessary hospitalizations. They will document medical conditions, manage quality measures, and collaborate with the medical director and interdisciplinary teams.
The Regional Director of Operations oversees the operational, clinical, and financial performance of multiple healthcare practices to drive value-based care initiatives. They are responsible for leading integration efforts, monitoring key performance indicators, and ensuring compliance with healthcare regulations.
The Case Management Manager leads and oversees daily operations of outpatient case management and care coordination programs. This role directs a multidisciplinary team to improve patient outcomes, reduce hospitalizations, and support value-based care initiatives.
The Clinical Excellence Trainer provides on-the-job coaching and training to clinical and clerical staff to improve operational efficiency and medical margins. They analyze workflows, facilitate workshops, and collaborate with leadership to implement best practices across various medical practice locations.
