AVP Stars and Risk Adjustment National Medical Director

AVP Stars and Risk Adjustment National Medical Director

Location : Brentwood, TN, United States

Posted on : Apr 28, 2023

Profile

The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can contribute to Humana's national planning and operations for Risk Adjustment, Stars, and Interoperability. This role will carry a set of individual contributor and leadership responsibilities.

Responsibilities

• Inform and support HQRI's provider strategy across Stars, RA, and Interoperability.
• Serve as a coding expert to manage escalations or establish compliant policies.
• Contribute as a clinical industry representative.
• Lead HQRI's Provider Support team that drives national provider education strategy and operations.
• Support corporate and regional strategies for physician and healthcare provider education or operations for Risk Adjustment and Stars.
• Provide supportive clinical and coding expertise across the teams in HQRI.
• Support interoperability efforts.

This position reports to the Vice President of Strategy Advancement in the Healthcare Quality Reporting and Improvement organization (HQRI) and collaborates significantly with the HQRI Senior Leadership Team across its programs. This is a remote position with travel expectations up to 25%.

Required Qualifications

Preferred Qualifications

Additional Information

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Scheduled Weekly Hours : 40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion.

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