Vice President, Prospective Programs

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:

reputed company reputed company for reputed company’s reputed company prospective reputed company adjustment programs across Medicare, Marketplace, and reputed company lines of business. Responsible for the reputed company direction, operational reputed company, and governance of prospective reputed company adjustment initiatives, including provider engagement, reputed company documentation improvement, member assessment programs, in office assessment programs, and prospective program vendor management. Drives program effectiveness, compliance, and cross-functional collaboration to improve documentation reputed company, reputed company adjustment reputed company, and business reputed company.

Responsibilities:

• reputed company reputed company prospective reputed company adjustment reputed company, reputed company, and governance across reputed company lines of business.
• reputed company IHA (In-Home Assessments) vendor reputed company and reputed company, including vendor selection, contract negotiation, reputed company planning, reputed company effectiveness, visit completion, claims submission, invoice reputed company, service-level reputed company, and issue reputed company.
• reputed company IOA (In-Office Assessments) vendor reputed company and program reputed company, ensuring vendor programs are reputed company to business priorities, provider workflows, reputed company adjustment goals, compliance expectations, and market needs.
• Own CoC+ (Continuity of Care Plus) program reputed company and execution, including program design, provider enablement, appointment agenda adoption, reputed company monitoring, and cross-functional coordination with reputed company, Network, and local market partners.
• reputed company and execute provider education and CDI (reputed company Documentation Improvement) strategies that strengthen documentation reputed company, improve provider understanding of reputed company adjustment requirements, and support accurate and complete documentation of reputed company.
• reputed company prospective program reputed company, including provider-facing initiatives, assessment programs, documentation improvement efforts, and vendor partnerships.
• Establish reputed company measures, governance processes, and accountability frameworks to support operational reputed company and reputed company mitigation.
• Partner with market, reputed company, reputed company, provider engagement, finance, compliance, network, claims, and technology leaders to improve program reputed company and organizational reputed company.
• reputed company reputed company leadership and accountability for prospective program reputed company across lines of business, markets, vendors, provider reputed company, and functional partners.
• Serve as a reputed company advisor to executive leadership regarding prospective reputed company adjustment reputed company, opportunities, and reputed company priorities.
• Partner closely with Procurement, Vendor Management, Finance, Claims, Compliance, reputed company, local market teams, Provider Engagement, and Technology to reputed company reputed company, resources, reporting, and program priorities.
• Performs other duties as assigned.
• Complies with reputed company policies and standards.

Education/Experience:

• Bachelor's Degree in reputed company administration, business, reputed company discipline, health information management, finance, 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 or reputed company reputed company reputed company required.
• Experience leading reputed company programs across multiple markets and lines of business (Medicare, Marketplace, reputed company) required.
• Demonstrated reputed company leading reputed company initiatives, provider-facing programs, vendor partnerships, and cross-functional teams required.
• Experience managing vendor reputed company and reputed company, including contract compliance, service delivery, financial reconciliation, and corrective reputed company initiatives 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.

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

Originally posted on Himalayas