Overview:
Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients.
You’ll have opportunities to make a difference.
From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.
HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives.
Visit honorhealth.
com/benefits to learn more.
Join us.
Let’s go beyond expectations and transform healthcare together.
HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area.
The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more.
With nearly 14,000 team members, 3,700 affiliated providers and hundreds of volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona.
Learn more at HonorHealth.
com.
Qualifications: Education
Bachelor's Degree or equivalent professional experience In related field or equivalent professional work experience Required
Experience
5 years related experience in quality and risk management and billing & coding experience Required
Responsibilities: Job Summary
The Quality & Risk Director will lead and direct the operational quality and risk activities and programs with internal teams, practices, payers, and other partners for various contracted payers including Medicare, Medicare Advantage, commercial, and other payers.
The Quality & Risk Director will work with ICP's leadership and teams to develop the operational goals and strategies to foster improved quality and risk performance and outcomes with providers-practices and payers
Leads and directs the quality and risk initiatives working with internal teams, practices, and payers to capture measures and perform associated analyses and reporting.
Develops and delivers quality and risk education and communications to internal teams, practices, and providers.
Performs analyses and reporting for ICP’s quality, risk, outcomes, and performance.
Develops and manages ICP’s risk strategy for solutions and operational activities to improve Risk Adjustment Factor (RAF) scores and associated shared savings opportunities
Leads the Quality & Risk team and ensures adequate staffing levels, inclusive of hiring/onboarding, evaluating, managing performance, coaching and developing employees ensuring employee productivity, quality of work, and alignment of goals with our mission, vision, and values.
Ensures compliance with all policies, financial stewardship by being accountable for the financial integrity of the team’s budget.
Implements ICPs vision for Quality and Risk functions while contributing to the development of new quality & risk strategies for ICP.
Provides leadership and guidance with payers and other entities to understand and monitor ongoing regulations and requirements related to quality and risk contracts and programs.
Acts in an advisory capacity with billing-coding staff and providers at practices to recommend coding and compliance updates and opportunities
Communicates and collaborates with other departments in managing day-to-day aspects of projects, identifying resources needed and choosing the most efficient method of data extraction and analysis.
Performs other duties as assigned.
Facility: Innovation Care Partners Department: ICP Info Technology Work Hours: 8-5pm Shift: 01 - Days Position Type: Regular Full-Time
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