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Director Clinical Quality & Risk Management - Full Time Exempt

Covina, California

Job Title Director Clinical Quality & Risk Management - Full Time Exempt Company Name Emanate Health Employment Type Full Time Location Covina, California Job ID R0010948 Date posted 03/06/2024 Campus/Location Corporate Badillo St. - Covina

Note: Please read the complete description below before applying for this job.

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Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals.

On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.

Job Summary

The Director Clinical Quality & Risk Management is a senior role at Emanate Health and a member of the leadership team. Reporting to the Vice President of Clinical Integration and Strategy, the Director will play a strong role in leadership and design of a successful value-based care platform. Responsible for oversight in the development of enhanced standardized practices for quality and risk management. 

Job Requirements

Minimum Education Requirement :

Bachelor’s Degree in healthcare administration, business or related field preferred.

Minimum Experience Requirement :

Ten (10) or more years of extensive experience in healthcare administration position in an independent medical group environment. Extensive experience in design and implementation of strategies for value-based care.  Leadership experience collaborating with senior leadership and all levels of healthcare providers. Demonstrated ability to drive process improvement. Experience serving as a change agent to implement best practice solutions to improve operational processes. Understanding of risk management processes, reporting instruments, metrics, dashboard design. Familiarity with claims and encounter data processes. In-depth knowledge of HCC models V24 and V28. Strong project management skills, a keen understanding of healthcare quality metrics such as HEDIS, STARS,ICD-10, HCC/RAF, and a proficiency in analytic reporting required.

Minimum License Requirement :

CPC, CRC and project management certifications highly preferred

Delivering world-class health care one patient at a time.

Pay Range:

$69.79 - $108.88
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