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Career Center

  • New York, New York, Description ColumbiaDoctors, the Faculty Practice Organization of Columbia University Irving Medical Center, is seeking an experienced candidate for the role of Chief Medical Officer. ColumbiaDoctors exists as a component of the Columbia University College of Physicians and Surgeons and is overseen by the Dean, the CEO, and a Board of 21 voting members of representatives from each clinical department.  In 2023 ColumbiaDoctors delivered over 1.7 million outpatient visits provided by 2800 physicians/providers in over 100 locations and generated over $1 billion in clinical revenue. The candidate would hold a full-time academic appointment at Columbia University in the Vagelos College of Physicians and Surgeons, with 0.5 FTE dedicated to the CMO role. The remaining 0.5 FTE would consist of effort commensurate with the candidate’s expertise in other areas of the academic mission of clinical care, education, and/or administrative efforts as determined by the Vagelos College of Physicians and Surgeons. Key Responsibilities The CMO will be responsible for direct oversight of the business units leading quality and patient safety activities of ColumbiaDoctors to ensure the delivery of quality care in the most effective manner to ensure the safety of our patients The CMO will set direction for quality and safety initiatives and be responsible for developing associated policies and procedures This role will establish and implement an effective framework within which our physicians and providers have the appropriate structure to support the clinical enterprise offering safe, high-quality, efficient, and effective medical services to our patients. This role will regularly evaluate resources inclusive of personnel to ensure that ColumbiaDoctors is meeting strategic objectives in respect to quality and patient safety needs across the clinical enterprise. The CMO will partner with senior leadership stakeholders to serve as a contributor on matters related to the patient experience to ensure patient concerns are addressed in alignment with practice standards and all relevant policies. The CMO will be an integral member of the leadership team that oversees faculty professionalism and patient grievances within the ambulatory outpatient clinical enterprise. This will include overseeing investigations and resolution of complaints as well as interaction with risk management, legal services, and the office of professionalism at VP&S. The CMO will work collaboratively with the newly created Columbia Center for Patient Safety Science and its Director who serves in the role of Associate Dean for Patient Safety.  This work will involve collaboration on external reviews of patient quality and safety policies and procedures and the development of educational programs in patient safety and focused research projects across CUIMC. The CMO will have broad oversight of all population health efforts across the ColumbiaDoctors clinical enterprise, and will work in concert with the leadership teams in our ACO, the tripartite organizational structure, and the primary care division to ensure effective and efficient population health management Leadership Possess a deep understanding of the industry and organziational landscape and can anticiapte and articulate critical issues, opportunities and threats in the forseeable future. Exhibits an appreciation for the need for preparation, collaboration, planning, communication, and benchmarking of results in his/her approach to problem-solving and program building.  The successful candidate will have the communication skills, experience, and leadership abilities to interact seamlessly and collaboratively with our executive leadership team under the direct supervision of the CEO of ColumbiaDoctors. The ideal candidate will also be capable of forging a productive and collaborative relationship with our Health System Partner, NewYork Presbyterian Hospital including working closely with the NYP CMO and COO. People Partners with Senior Administrative Leadership and HR team to develop HR strategy for assigned units and engages management team to execute strategy. Develops a high-performing team and creates a continuous learning environment. Establishes a culture of coaching and mentoring to facilitate continuous professional development.  Partners with Senior Administrative Leadership to identify and mitigate any roadblocks to performance and evaluate the effectiveness of development on assigned teams. Cultivates an outstanding relationship with NewYork Presbyterian leadership, Vagelos College of Physicians and Surgeons Leadership, clinical department leadership, and Columbia University clinical faculty. Influences others to build a solid platform for change via commitment, dedication, communication, education, and creative problem-solving. The CMO will represent the interests of the clinical enterprise in all relevant committees, task forces, and workgroups as deemed appropriate by the ColumbiaDoctors Board of Governance and Chief Executive Officer, ColumbiaDoctors Compliance The CMO will collaborate with the CEO of ColumbiaDoctors to communicate and manage compliance with all medical policies and procedures of ColumbiaDoctors. This will include communication and compliance with changing healthcare regulations in the area of telehealth, annual training, and quality and patient safety as it relates to relevant institutional, accrediting bodies, and state and federal regulations. Qualifications Minimum Qualifications required; MD or DO degree with unrestricted license to practice medicine in New York State. Board Certified in relevant specialty. Qualified candidates will have served in a similar role as Associate CMO or CMO of an academic healthcare system. Assures the highest standards of healthcare delivery and outcomes while ensuring a constant patient focus. Exhibits a style that fosters and supports change and innovation, with an ability to delegate yet maintain overall control and set high standards. Exhibits self-awareness, humility, and empathy in his/her interactions with others. Exhibits values and behavior of a good citizen in his/her actions within the organization at large. Demands trust, transparency, and optimism by his/her actions. Communicates naturally, frequently, and effectively through written and verbal communications across a variety of stakeholders and target audiences from senior hospital leadership and administration to clinical support staff embedded within the clinical practices. Demonstrates cultural sensitivity and a commitment to diversity Preferred Qualifications National Recognition by Quality Associations is preferred (i.e., Certification/Fellowship through the Institute for Healthcare Improvement, etc.)   Application Instructions This position will be appointed at the rank of Assistant Professor, Associate Professor or Professor commensurate   with experience. Salary Ranges: Assistant Professor at CUMC: $300,000 - $705,000 Associate Professor at CUMC: $325,000 - $705,000 Professor at CUMC: $350,000 - $705,000 Interested applicants are asked to provide their full CV and a letter of intent for consideration.   Equal Employment Opportunity Statement Columbia University is an Equal Opportunity Employer / Disability / Veteran Pay Transparency Disclosure The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training.  The above hiring range represents the University’s good faith and reasonable estimate of the range of possible compensation at the time of posting.
  • Aurora, Colorado, Why should you consider a career with Colorado Access? We are a Colorado-based company, working to improve the health of our state. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program). Our focus is driving improvements in quality, member experience, outcomes, and cost. We are a mission-driven organization whose foundation is built by our vision, supported by our values and pillared by diversity, equity and inclusion. Find work/life balance:   We offer PTO, floating holidays, seven company paid holidays, work from home options (exceptions apply), an Employee Assistance Program and a 401K. Be a part of something bigger and make an impact: We serve the underserved and most vulnerable populations in our community through access to quality and affordable health care. No matter what you do for Colorado Access, you are impacting our community and making a difference. Sharpen your skills, learn, and grow: We support your continued development through tuition reimbursement, leadership training, promotion opportunities, performance evaluations, employee recognition, and a language pay stipend.   What you will do: We are looking for a  Supervisor of Customer Service  like you who can help shape our vision and support our mission. Here is what the day-to-day functions will look like: Manages day to day activities of the call center.  Monitors call flow and makes adjustments as necessary to ensure call metrics are met.  Recommends and manages improvements to automate processes, improve customer satisfaction, and decrease costs. In coordination with the Manager of Customer Service, ensures call metrics and service level agreements are met.  Identifies and reports problems and trends and recommends solutions which impact call volume, training opportunities, and case resolution. Establishes, monitors and adjusts call center work schedules to meet the needs of the Customer Service department.  Serves as primary contact for Customer Service Representatives. Manages and provides guidance on complex and urgent customer inquiries regarding eligibility, pharmacy, benefits, claims, and other relevant topics.     Provides leadership and direction to Customer Service Representatives including career development, coaching, and mentoring.  Responsible for tracking performance of direct reports, and the delivery of performance evaluations and disciplinary actions, including but not limited to written warnings, as necessary. Maintains written documentation of performance, including a chronology log or other documentation tools. Assists in development of call center policies and procedures, department standards for quality, customer service and performance.  Responsible for staff performance and compliance with departmental standards, policies and procedures. Tracks, monitors and reports individual and team performance. Oversees the language interpretation services.  Responsible for arranging, coordinating, and approving language interpreter service requests for members of all programs over the phone and at accepted physical locations.  Coordinates the reconciliation of all language interpretation services invoices.  Tracks and projects interpreter service usage to assist with the annual budget process. Interacts with internal and external personnel to develop and maintain effective communication to resolve issues and inquiries related to customer service.    Together we will be:  an innovative and collaborative team who supports each other, the employees and vision of the company to reach our goals individually, together and as an organization.   Pay, Perks and Benefits at Colorado Access: The compensation for this position is  $59,600.00 to $72,500.00  annually. The pay rate/salary is commensurate with experience.  In addition to being part of a mission driven organization serving our community, as an eligible Colorado Access employee, you’ll receive a generous benefits package, that includes: Medical, dental, vision insurance that starts the first day of the month following start date.  Supplemental insurance such as critical illness and accidental injury.  Health care and dependent care flexible spending account options. Employer-paid basic life insurance and AD&D (employee, spouse and dependent).  Short-term and long-term disability coverage. Voluntary life insurance (employee, spouse, dependent). Paid time off Retirement plan Tuition reimbursement (based on eligibility).  Annual bonus program (based on eligibility, requirements and performance).   Where you will work: This position will be a hybrid model work environment, a blend of ‘In-Office’ and ‘Remote.’    We are not able to support out of state employees at this time as we continue to serve our members and community in the metro Denver area and across the beautiful state of Colorado. What you will bring: Education : Bachelor's degree in Business, Healthcare Management is preferred.  Equivalent combination of experience and/or education may substitute with a preference for four years progressive relevant work experience.   Experience : Three years’ experience in healthcare or a call center environment. Supervisory experience is preferred. Knowledge, Skills, and Abilities : Knowledge of healthcare and strong understanding of Colorado Medicaid and managed care preferred.  Must have excellent written and verbal communication skills, customer service skills, ability to work independently.   Demonstrates support for the company’s mission, vision and values. Must have strong time management skills, strong interpersonal skills and a strong working knowledge of database and spreadsheet programs, particularly Access. May be required to manage multiple priorities and projects with tight deadlines.  Requires the ability to use complex processes and procedures to facilitate quality outcomes and/or resolutions.   Licenses/Certifications : A valid driver's license and proof of current auto insurance will be required for any position requiring driving.
  • Pittsburgh, Pennsylvania, Summary While performing duties related to St. Clair Hospital or St. Clair Medical Group, this position is responsible for supporting the organization-wide patient safety improvement program and assisting in the protection of Hospital assets from loss by assisting in the implementation of the Patient Safety Plan and Risk Management Plan.  This position also supports the hospital-wide regulatory compliance with CMS Conditions of Participation, PA Department of Health licensure requirements and ongoing readiness and compliance with the Joint Commission accreditation requirements. Identifies patient safety issues and potential liability exposures; supports the reduction of medical errors and other factors that contribute to unintended adverse patient outcomes; and responds appropriately to prevent, manage, and mitigate loss to the organization.  Supports the administration of the professional and general liability claims.   Minimum Qualifications Bachelor’s degree in Nursing or a healthcare-related field. Three years of clinical experience. Excellent oral and written communication, interpersonal, decision-making and analytical skills. Excellent computer skills including report and graphic generation. Ability to organize, prioritize, and work independently. Knowledge of risk management principles and issues regarding patient safety. Able to facilitate the identification of risks throughout the organization.   Preferred Qualifications Master’s degree in nursing or a related healthcare field. Three years of risk/claims management experience. Certified Professional in Healthcare Risk Management (CPHRM) or Associate in Risk Management (ARM) designation. Experience with Windows-based programs and claims management software. Experience with data analysis/management. Experience in lean training. Understanding of CMS Conditions of Participation, PA Department of Health Regulations and Joint Commission accreditation requirements.
  • Dallas, Texas, JOB SUMMARY Accountable for reviewing member records to accurately maximize risk scoring in keeping with Baylor Scott and White Health risk adjustment strategies and processes for lines of business subject to risk adjustment. The pay range for this position is $26.27 (entry-level qualifications) - $39.41 (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Conducts provider audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology Interprets health record documentation to code and abstracts diagnoses and/or procedures for inpatient, outpatient, and clinic cases Conducts focused HCC reviews on providers and clinics, tracks results and identifies trends and deficiencies for follow-up Researches complex coding HCC issues and keeps abreast of coding and compliance changes as communicated by CMS, HHS, AHA, AMA and the Federal Register, and sharing knowledge with co-workers, as directed Assists Risk Adjustment Auditor 2 or Manager with educator duties in the clinics on occasional based, as needed Protects data integrity and validity Maintains and respects patient confidentiality for accessing and disclosure of health information KEY SUCCESS FACTORS Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation Knowledge of and compliance with standards of ethical coding as set forth by the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC) Knowledge of anatomy, physiology, pathological processes of disease, and medical terminology Critical thinking skills for chart review and abstraction Efficient Time Management skills Proficiency in use of Microsoft applications such as Word, Excel, and PowerPoint preferred BENEFITS Our competitive benefits package includes the following: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS EDUCATION - Associate's or 2 years of work experience above the minimum qualification EXPERIENCE - 2 Years of Experience CERTIFICATION/LICENSE/REGISTRATION Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health Information Technic (RHIT): Must have one of the following: CCS - Certified Coding Specialist  CCS-P - Certified Coding Specialist-Physician Based CPC - Certified Professional Coder RHIA - Reg Health Info Administrator RHIT - Reg Health Information Technician.
  • Remote,, JOB SUMMARY Accountable for reviewing member records to accurately maximize risk scoring in keeping with Baylor Scott and White Health risk adjustment strategies and processes for lines of business subject to risk adjustment. The pay range for this position is $26.27 (entry-level qualifications) - $39.41 (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Conducts provider audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology Interprets health record documentation to code and abstracts diagnoses and/or procedures for inpatient, outpatient, and clinic cases Conducts focused HCC reviews on providers and clinics, tracks results and identifies trends and deficiencies for follow-up Researches complex coding HCC issues and keeps abreast of coding and compliance changes as communicated by CMS, HHS, AHA, AMA and the Federal Register, and sharing knowledge with co-workers, as directed Assists Risk Adjustment Auditor 2 or Manager with educator duties in the clinics on occasional based, as needed Protects data integrity and validity Maintains and respects patient confidentiality for accessing and disclosure of health information KEY SUCCESS FACTORS Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation Knowledge of and compliance with standards of ethical coding as set forth by the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC) Knowledge of anatomy, physiology, pathological processes of disease, and medical terminology Critical thinking skills for chart review and abstraction Efficient Time Management skills Proficiency in use of Microsoft applications such as Word, Excel, and PowerPoint preferred BENEFITS Our competitive benefits package includes the following: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS EDUCATION - Associate's or 2 years of work experience above the minimum qualification EXPERIENCE - 2 Years of Experience CERTIFICATION/LICENSE/REGISTRATION Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health Information Technic (RHIT): Must have one of the following: CCS - Certified Coding Specialist  CCS-P - Certified Coding Specialist-Physician Based CPC - Certified Professional Coder RHIA - Reg Health Info Administrator RHIT - Reg Health Information Technician.

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