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Mission Health Partners (MHP) is one of the largest Accountable Care Organizations in North Carolina, with value-based agreements in place with payors that allow MHP to provide care coordination services for at-risk patients under these health plans while also providing incentives for physicians to improve quality and reduce unnecessary costs.
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This position leads the overall clinical vision for the site in order to not only provide high quality medical care for patients, but also align staff to meet the changing environment in healthcare: the shift to population health management, value-based contracts for care, and risk pool management.
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The Director of Value-Based Payor Partnerships is a key member of this team, with primary responsibilities for leading cross-functional deal teams through underwriting, negotiation and execution of highly complex value-based care arrangements (shared risk, full capitation, pay-for-performance, etc.
$110,100 - $161,700 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Possessing working experience in Payer or Provider operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality Improvement, Informatics, ACO operations, etc.
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Possessing working experience with Population Health Management technologies and approaches (e.g., high-risk user stratification tools, cost/quality/utilization trend analysis, provider performance tools.
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Champion organizational Population Health and Value-Based Care approach. Work closely with health plans and be the principal liaison for all pay-for-performance and value-based care contracts.
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We encourage four well visits per year, proactive outreach to our most fragile and at-risk patients, same-day urgent appointments, and transitional care management. Our physians are able to better serve their patients through smaller panel sizes, fewer patient visits per day, and a focus on outpatient medicine with state-of-the-art facilities and quality team members who share our value of providing 5-STAR service that always puts patient care and outcomes first.
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Your primary objective will be to assess the overall health and well-being of Medicare beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
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About AdvantmedAdvantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. wellness risk adjustment assessments for the Medicare population.
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Strong knowledge of value-based care and risk-based coding procedures in Primary Care. We need your training and skills to help our clinic run smoothly, providing our patients with top-notch quality care.
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Edifecs is a premier technology company in the U.S. Healthcare market with solutions focused on interoperability, workflows, risk adjustment, value-based care payments, and analytics.
$85,862 - $164,407 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The primary ways in which we pursue our mission are through capitated arrangements with government payers, such as Medicare and Medicaid under the PACE (Program of All-Inclusive Care for the Elderly) model, and as a value-based provider working in partnership with local health plans.
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Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
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Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare and other populations.
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3 years patient care experience preferred (primary care/adult/geriatric, EMR) Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations.
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value based care risk jobs
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