Interwell Health is a kidney care management company that partners with physicians on its mission to reimagine healthcare—with the expertise, scale, compassion, and vision to set the standard for the industry and help patients live their best lives. We are on a mission to help people and we know the work we do changes their lives. If there is a better way, we will create it. So, if our mission speaks to you, join us!
Director will be responsible for driving initiatives related to Risk Adjustment management to ensure that health plan performance is on track with targets. Priorities include operational support, driving day to day operations, implementing new pilots, and running existing programs. The Director, will have a critical role in assessing the opportunity for performance improvement, devising the approach for implementation new strategies, and managing deployment of performance related initiatives for Nephrology providers.
The work you will do:
- Responsible for the overall execution of the RA program across all key focus areas while specifically ensuring key metrics and timelines are met for providers across the Network.
- Serve as the SME on Risk Adjustment understanding the intricacies of the models
- Consult with and educate providers, leadership, and C-Suite, translating technical information into actionable solutions
- Provides leadership on risk adjustment activities to key stakeholders and direct reports
- Develop systems for monitoring and tracking progress and processes for escalating potential issues
- Work closely with IWH colleagues and provider organizations to determine the approach for clinical performance improvement, including:
- Provider relations, client management and vendors support
- analytics
- revenue cycle
- stakeholder engagement (physicians, office staff, care management)
- integration with clinical delivery initiatives to promote access to quality care
- timely monitoring and submission of supporting documentation for RAF and Quality programs
The skills and qualifications you need:
- 5-8 years+ experience in managed care, health plan operations, health care delivery system and P&L responsibility.
- 5-7+ years of experience in managing large enterprise-level programs.
- Professional experience in a leadership working with providers, different large organization in a large, complex, and integrated health care delivery system.
Our mission is to reinvent healthcare to help patients live their best lives, and we proudly live our mission-driven values:
- We care deeply about the people we serve.
- We are better when we work together.
- Humility is a source of our strength.
- We bring joy to our work.
We are committed to diversity, equity, and inclusion throughout our recruiting practices. Everyone is welcome and included. We value our differences and learn from each other. Our team members come in all shapes, colors, and sizes. No matter how you identify your lifestyle, creed, or fandom, we value everyone’s unique journey.
Oh, and one more thing … a recent study shows that men apply for a job or promotion when they meet only 60% of the qualifications, but women and other marginalized groups apply only if they meet 100% of them. So, if you think you’d be a great fit, but don’t necessarily meet every single requirement on one of our job openings, please still apply. We’d love to consider your application!
