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 Sr. Financial Analyst manages incentive pool calculations, audit preparedness, and financial reporting for value-based care arrangements. They also collaborate with accounting and treasury departments to ensure accurate revenue tracking and payment integrity.
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.
Supports broker engagement and marketing activities by coordinating outreach and managing event logistics for agents and brokers. Maintains broker databases and compiles engagement metrics to drive member and patient acquisition.
