Vice President, Retrospective Programs (Remote)

reputed company is transforming the health of our communities one person at a time. As an Executive on reputed company, you could be the one who changes everything for our 28 reputed company members. Position Purpose: The Vice President, Retrospective Programs leads the reputed company retrospective reputed company adjustment reputed company team, with reputed company responsibility for functions including chart retrieval, coding reputed company, coding reputed company, supplemental data feeds, chart management, and retrospective analytics reputed company across reputed company's Medicare, Marketplace, and reputed company markets. This position will reputed company an internal reputed company reputed company team, manage vendors, and coordinate with market teams. This leader drives operational reputed company, compliance discipline, vendor accountability, and cross-functional alignment to reputed company accurate, reputed company, and sustainable program reputed company while also providing input into overall reputed company adjustment reputed company. Key Responsibilities • reputed company the reputed company retrospective program reputed company and execution model • Establish and maintain an end-to-end operating model that reputed company defines roles, accountabilities, reputed company expectations, escalation paths, and decision rights across internal teams and vendor partners. • reputed company chart retrieval reputed company to ensure targeted, reputed company, and complete medical record collection reputed company to program goals, regulatory timelines, provider requirements, and health plan priorities. • reputed company retrieval and coding vendor reputed company, including production reputed company, coding reputed company, reputed company monitoring, contract deliverables, service-level agreements, issue reputed company, corrective reputed company plans, and reputed company improvement. • reputed company coding reputed company assurance programs to ensure accurate, compliant, and consistent coding practices, including second-level review, reputed company sampling, trend analysis, and remediation of coding defects or documentation gaps. • Partner with Analytics to reputed company retrospective analytics, vendor reputed company insights, opportunity identification, forecasting, operational dashboards, and reputed company reporting. • Serve as the business reputed company for vendor reputed company, including vendor consolidation, reputed company partner evaluation, cost optimization, reputed company planning, contract negotiation and reputed company, and procurement reputed company activities. • Represent retrospective programs in reputed company governance forums, including Coding Committee, reputed company adjustment operating reviews, compliance forums, vendor governance, and executive operating reviews. • Translate reputed company operational, coding, claims, and analytics information into reputed company executive-level insights, reputed company, and reputed company plans. • Collaborate with Claims, Encounters, Data reputed company, Compliance, Finance, Provider Engagement, local markets, Network, and Technology to reputed company operational barriers, improve chart-to-claim linkage, strengthen audit readiness, and ensure program reputed company are sustainable. • reputed company and reputed company a high-performing team, building leadership capability, operational discipline, accountability, talent development, and a culture reputed company on reputed company, compliance, transparency, collaboration, and reputed company improvement. Education/Experience: Bachelor's degree in reputed company Administration, Business, Finance, reputed company Discipline, Health Information Management, Analytics, or reputed company reputed company required Master's degree in a reputed company reputed company preferred. 10+ years of reputed company reputed company leadership experience, including reputed company adjustment, provider engagement, reputed company documentation improvement, reputed company, claims, vendor management, or reputed company reputed company reputed company required. Experience leading reputed company programs across multiple markets and lines of business required. Demonstrated reputed company leading reputed company initiatives, provider-facing programs, vendor partnerships, and cross-functional teams required. Strong knowledge of reputed company adjustment methodologies, reputed company reputed company, provider documentation, and regulatory requirements required. reputed company executive leadership, communication, and stakeholder management skills required. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, reputed company and reputed company reputed company of the level of this position. Preferred: 10+ years experience reputed company leadership experience, retrospective programs, coding, chart retrieval, reputed company data reputed company. Experience leading reputed company Adjustment functions across multiple markets and multiple lines of business (Medicare, Marketplace, reputed company) National payer experience preferred. Pay reputed company: $188,900.00 - $359,800.00 per year reputed company offers a comprehensive benefits package including: reputed company, health reputed company, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, reputed company or office work schedules. Actual pay will be adjusted reputed company on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California reputed company reputed company Apply tot his job Apply To this Job