Market Director Population Health Quality and Risk

Will have oversight for Arkansas, Tennessee/Georgia, and Kentucky markets.

• Supports quality, clinical practice, safety, risk coding, compliance, patient experience and Health Information Management functions within the Value Hub (Clinically Integrated Networks/CINs).  

• Facilitates quality and patient experience performance across the SE Region Value Hub (VH) of CommonSpirit Health.

• Demonstrates productive and organized leadership in the development and implementation of performance improvement plans and programs necessary to meet strategic objectives.

• Conducts provider and quality incentive programs in the value hub. 

• Manages a team of managers/personnel with varying critical organizational roles. 

• Serves as market liaison, interfacing with internal clinical leaders and external payer partners for all things quality and risk for the value hub. 

• Through Risk Management/Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas and Kentucky CIN.

• Educate providers to improve documentation and coding practices, for accurate claims submissions and accurate reimbursement.

• Continue to work closely with managers and providers to build relationships, establish trust and open communication related to documentation best-practices, accurate documentation and coding, and claims submissions

• Participate/assist in pilot programs for concurrent and retrospective review processes. Assist in the creation of workflows and guidelines for these new processes.

• Support the Risk Auditor Manager of closely working with the HCC Risk auditors to establish, and update daily workflows and audit processes. Ensure that auditors stay current on guidelines and best practices and maintain the highest level of ethics in their chart reviews and provider interactions. Use the weekly auditor’s roundtable to challenge each other and expand our knowledge on the most complicated areas of documentation and coding.

CHI St. Vincent, a regional health network serving Arkansas, is part of CommonSpirit Health. We have served Arkansas since 1888 with a history of many firsts. Together with more than 4500 coworkers, 1000 medical staff and 500 volunteers we consistently receive praise for care advancements. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. CHI St. Vincent provides you with the same level of care you provide to others. We care about our team member well-being and offer benefits that complement and support your work/life balance.