Director of Clinical Documentation
Posted on 3/28/2023
Experience Level
  • 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
  • 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
Interwell Health

201-500 employees