Burden of Illness Director
About the job
- Maintain knowledge of CMS-HCC methodologies, regulatory requirements, coding guidelines, and changes affecting Burden of Illness performance.
- Have a bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, or Public Health, or an equivalent combination of education and relevant professional experience.
- Have a minimum of 7 years of progressive experience in Medicare Risk Adjustment, Burden of Illness, healthcare analytics, population health, or related healthcare operations.
- Have a minimum of 3–5 years of leadership experience.
- Have strong experience with CMS-HCC Risk Adjustment methodologies and reporting requirements.
- Have experience working with physician practices and provider leadership.
- Have experience with Medicare Advantage and value-based care arrangements.
- Have demonstrated experience using healthcare data to identify opportunities and drive measurable performance improvement.
- Have expert knowledge of Risk Adjustment and Burden of Illness principles.
- Have a strong understanding of compliant clinical documentation and coding practices.
- Have strong analytical and data interpretation skills.
- Be able to translate complex performance data into actionable strategies.
- Have strong provider engagement and physician relationship skills.
- Be able to lead through influence across clinical and operational teams.
- Have strong executive communication and presentation skills.
- Have strategic planning and program development capabilities.
- Have strong problem-solving and decision-making skills.
- Be able to manage multiple complex initiatives simultaneously.
- Be able to translate strategic objectives into measurable operational execution.
- Provide leadership and subject matter expertise for organizational Burden of Illness initiatives.
- Monitor key Burden of Illness indicators.
- Identify patterns in documentation and coding performance requiring provider or practice intervention.
- Establish Burden of Illness priorities for physician practices based on performance data and identified opportunities.
- Develop the framework teams use to execute Burden of Illness initiatives within practices.
- Segment and prioritize practices and providers based on the level of support required.
- Monitor practice and provider progress against established Burden of Illness goals.
- Identify systemic barriers affecting practice execution and coordinate solutions across the organization.
- Develop scalable workflows that integrate Burden of Illness activities into routine practice operations.
- Ensure practice-facing Burden of Illness activities are coordinated to minimize disruption and improve provider engagement.
- Establish Burden of Illness strategies for practices participating in Risk Bearing Entity arrangements.
- Partner with Risk Bearing Entity Partnership leadership to understand contractual priorities, performance opportunities, and partner expectations related to Burden of Illness.
- Monitor Burden of Illness performance across Risk Bearing Entity populations and identify opportunities requiring intervention.
- Develop targeted improvement strategies for Risk Bearing Entity practices based on identified performance gaps.
- Participate in Risk Bearing Entity performance discussions when Burden of Illness expertise or leadership is required.
- Ensure Burden of Illness initiatives supporting Risk Bearing Entity arrangements are appropriately prioritized, tracked, and executed.
- Ensure provider education strategies address identified documentation and coding opportunities.
- An active CRC or CPC certification is strongly preferred.
- Experience with Medicare Advantage and value-based care arrangements, including ACO and risk-bearing arrangements, is preferred.
- Experience with analytical and reporting tools such as Excel, SQL, Tableau, Power BI, or similar platforms is preferred.
About the company
Millennium Physician Group is a large, physician-led medical network that provides primary care plus a wide range of specialty services. Its model centers on coordinating care across a broad clinical platform that includes walk-in centers, radiology and lab services, physical therapy, telehealth, home health, hospital care, and wellness programs across 200+ locations in FL, TX, NC, and GA. Patients access care through a connected network designed to streamline services and improve outcomes, rather than through isolated providers. The company employs a value-based care approach with strong physician engagement to align incentives around patient health and cost efficiency. This differentiates Millennium from many competitors by its size, comprehensive, integrated offerings, and emphasis on a seamless patient experience. The goal is to be Your Connection to a Healthier Life—delivering a coordinated, accessible, and higher-quality healthcare experience.
Company Size
1,001-5,000
Company Stage
N/A
Total Funding
N/A
Headquarters
null
Founded
2008
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Simplify's Take
What believers are saying
- October 6, 2025 IMA acquisition added 53 providers and 17 clinics in Central Florida.
- January 2026 Space Coast expansion deepens Millennium's footprint in Brevard and Indian River counties.
- Lee Health partnership targets traditional Medicare and Medicare Advantage seniors with chronic conditions.
What critics are saying
- August 13, 2025 Ostroski v. Millennium Physician Group adds FMLA litigation and distraction.
- Value-based Medicare economics compress margins if utilization rebounds or risk scores miss targets.
- Mosaic Health integration risk becomes existential if IMA or Space Coast operations underperform.
What makes Millennium Physician Group unique
- Millennium pairs physician-led primary care with value-based care across Florida through Mosaic Health.
- January 6, 2026 Space Coast deal added eight clinics and 37,000 active patients.
- September 2026 Lee Health partnership extends senior-care coordination across Southwest Florida Medicare patients.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
401(k) Company Match
Paid Vacation
Paid Holidays
Flexible Work Hours
Remote Work Options
Wellness Program
Health Savings Account/Flexible Spending Account
Pet Insurance
Employee Discounts
Growth & Insights and Company News
6 month growth
15%1 year growth
15%2 year growth
16%Millennium Physician Group and Lee Health announce strategic partnership to advance senior care in Southwest Florida. Southwest Florida's senior population is growing, and navigating Medicare and chronic health conditions is becoming increasingly complex. To better support older adults in managing their health, Millennium Physician Group, a Mosaic Health Company and one of Florida's largest physician-led primary care organizations, has entered into a strategic partnership with Lee Health. Together, the organizations will strengthen care coordination, expand preventive services and provide the tools and infrastructure needed to help seniors make informed decisions, manage chronic conditions and maintain greater independence. This partnership is designed to support senior patients with complex health needs and will serve individuals enrolled in traditional Medicare and Medicare Advantage plans. Both organizations will continue operating independently while collaborating to strengthen care for seniors in the region. As the partnership develops, patients will benefit from expanded care coordination and additional resources to support chronic conditions such as diabetes and heart disease, helping ensure they receive the right care at the right time. "Millennium has built a strong, physician-led value-based care platform focused on improving outcomes while supporting clinicians," said Kevin Spencer, national chief medical officer for Millennium Physician Group. "This partnership reflects a shared commitment to patient-centered care and allows us to extend our value-based care experience in a thoughtful, collaborative way." As part of the partnership, team members from both organizations will collaborate to support day-to-day operations related to Lee Health's senior care efforts. "This represents a meaningful step forward in how we work together to care for our community," said Dr. Iahn Gonsenhauser, chief medical officer for Lee Health. "By aligning around shared accountability for quality, outcomes and cost, we are strengthening care coordination, improving the patient experience and building a more sustainable health care model that keeps patients first. Partnerships like this allow us to deliver better care for this community." Millennium Physician Group brings nearly 20 years of experience caring for Medicare patients through value-based care models focused on prevention, care coordination and long-term health outcomes. The organization's approach has helped improve quality, reduce avoidable hospital visits and support sustainable health care delivery across Florida and beyond. Lee Health is a trusted health care leader in Southwest Florida, serving the community for decades through a commitment to high-quality, patient-centered care, clinical excellence and community partnership. As a nonprofit health system deeply rooted in the region, Lee Health has long focused on improving access, strengthening local care delivery and advancing innovative models that meet the evolving needs of the community. Together, Millennium Physician Group and Lee Health are combining experience, local leadership and shared purpose to strengthen senior health care in Southwest Florida, focused on improving outcomes, enhancing coordination and supporting the long-term health of the communities they serve. About Millennium Physician Group Founded in Port Charlotte, Florida, in 2008, and now based in Fort Myers, Florida, Millennium Physician Group, a Mosaic Health Company, has grown into one of the largest physician-led health care groups in Florida, with over 900 health care providers across the state, as well as locations in North Carolina, Georgia and Texas. Its services focus on primary care, complemented by multi-specialty care, walk-in centers, radiology and lab services, physical therapy, telehealth, wellness programs, home health, inpatient hospital care and more. Recognized nationally as a leader in value-based care with consistently high levels of physician engagement, Millennium aims to provide a genuinely connected health care experience for patients by offering a comprehensive and coordinated approach to health care, embodying the motto "Your Connection to a Healthier Life." Learn more at millenniumphysician.com. About Lee Health Lee Health has been a cornerstone of health care in Southwest Florida since opening its first hospital in 1916. As a non-profit, integrated health system, Lee Health is dedicated to providing high-quality, compassionate care to everyone, regardless of their ability to pay. With a strong commitment to community health and wellness, Lee Health commits to evolving with the growing and changing needs of the region. The system offers comprehensive services through four acute care hospitals, Golisano Children's Hospital, three skilled nursing locations, outpatient facilities, urgent care centers, and a wide network of primary care and specialty practices. Lee Health supports every step of the health journey, from preventive care to advanced treatment for every member of its community. Learn more at www.LeeHealth.org. About Mosaic Health Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare and Medicaid health plans. The Business Units which comprise Mosaic Health, including apree health, Millennium Physician Group and CareMore Health, are multi-payer and serve nearly one million consumers across 19 states, providing them with access to high-quality primary care, integrated care teams, personalized navigation, expanded digital access and specialized services for higher-need populations. Through Mosaic Health, health plans and employers have an even stronger care provider partner that delivers affordability and superior experiences for their members and employees, including value-based primary care capacity integrated with digital patient engagement and navigation. Each of the companies within Mosaic Health provide unique offerings that together promise to improve individuals' health and wellbeing, while helping care providers deliver higher-quality care. For more information, please visit www.mosaichealth.com or follow Mosaic Health on LinkedIn. More to explore. Client News Lee County Legal Aid Society received a grant from Funding Florida Legal Aid (FFLA) to help fund the Legal Aid Society's mission to provide free February 24, 2026 Client News Airport to upgrade popular spot where aviation enthusiasts watch arriving, departing aircraft Naples Airport will temporarily close its Observation Deck for a series of improvement February 24, 2026 Client News Florida Trust Wealth Management applauds the success of the 43rd Annual Sanibel-Captiva Rotary Club Arts & Crafts Festival, held Feb. 14 and 15 at the February 24, 2026
Fort Myers-based Millennium Physician Group has acquired Orlando's IMA Medical Group, expanding its reach in central Florida. IMA, with 53 providers and 17 clinics, serves over 22,000 Medicare Advantage members. The acquisition aims to enhance value-based care without changing IMA's practice names or care models. Financial terms were not disclosed. Guggenheim Securities advised IMA, and Foley & Lardner LLP provided legal counsel to Millennium.
Together, the Fort Myers-based Millennium Physician Group and Orlando-headquartered IMA Medical Group include more than 950 health care providers.
Fort Myers, Fla., October 15, 2024 - Millennium Physician Group ("MPG" or the "Company"), a value-based physician group with more than 900 healthcare providers across the Southeast, today announced that Tesha Simpson will join the Company as Chief Executive Officer, effective January 1, 2025.
OVERLAND PARK, Kan. FORT MYERS, Fla.--(BUSINESS WIRE)--WellSky, a leading health and community care technology company, and Millennium Physician Group, a value-based physician group with more than 800 healthcare providers across the Southeast, today announced a new multi-year partnership to drive improved outcomes for Millennium patients. Through this partnership, Millennium’s high-quality physicians and advanced providers can leverage WellSky’s technology, clinical services team, and extensive acute, post-acute, and home care footprint to improve patient outcomes. As market dynamics shift toward value-based care, this partnership sets a new standard for healthcare delivery. “Millennium Physician Group is laser focused on supporting our patients in all care settings, especially during their most vulnerable transition points. Working with WellSky further extends our reach and resources into the hospital emergency department and inpatient services, post-acute care, and community settings, thus ensuring continuity throughout the entire transition of care process with our physicians and the appropriate delivery of care for our patients,” said Millennium Chief Medical Officer Alejandro Perez-Trepichio, MD