Remote Clinical Data Coding Jobs in Pittsburgh, PA

GENERAL OVERVIEW:

The Vice President Digital Care and Virtual Hospital, Chief Medical Information Officer (CMIO), is a pioneering executive responsible for architecting a new modality of medicine that dissolves the physical walls of the hospital. This role oversees the AHN Virtual Hospital as a complex operational entity, bridging the divide between acute care and the home to reimagine care delivery. Accountable for the P&L, quality, and staffing of virtual care units, the VP CMIO leverages emerging technologies to close care gaps and automate administrative burdens across the Highmark Health enterprise.

ESSENTIAL RESPONSIBILITIES

• Perform management responsibilities to include, but not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, and manage the day-to-day operations of the team; develop and implement policies and programs as necessary; manage to assigned budgets. (20%)

• Lead Strategic Vision for Digital Care Delivery: Drive the architectural shift towards a virtualized hospital model, define the strategic roadmap for extending high-acuity care into the home, and serve as the executive architect for new modalities of medicine across the enterprise. (15%)

• Operate and Expand the AHN Virtual Hospital: Oversee the complex operational entity of the AHN Virtual Hospital, including its P&L accountability, quality metrics, and staffing for service lines such as digital nursing, virtual ICU, virtual sitting, and remote specialist consults. (15%)

• Deploy & Scale Advanced Digital Technologies: Lead the implementation, optimization, and scaling of cutting-edge digital health technologies, including Agentic AI, Remote Patient Monitoring (RPM) solutions, and an integrated device strategy to enhance care delivery and automate administrative burdens. (15%)

• Advance Population Health & Data-Driven Insights: Leverage sophisticated data ecosystems and AI-driven insights to proactively close care gaps, manage chronic conditions, and inform patient identification for virtual care programs, while ensuring clinical governance of algorithms. (15%)

• Foster Strategic Partnerships and System Integration : Cultivate and manage critical peer relationships across Highmark Health, AHN, and Helion to ensure seamless integration of virtual care services, drive system-wide patient flow, and align technological capabilities with logistical needs. (10%)

• Maintain Active Clinical Practice: Engage in continued part-time clinical practice to maintain credibility with medical staff and ensure a firsthand understanding of clinical workflows, patient needs, and operational effectiveness of digital interventions. (10%)

• Other duties as assigned or requested.

QUALIFICATIONS:

Required

• Medicine (MD or DO)

• 5 years of progressive executive leadership experience within a large, complex healthcare delivery system or integrated delivery network.

• 5 years of direct experience designing, launching, and scaling virtual care programs

• Demonstrated understanding of the current AI landscape, cloud platforms, and interoperability standards.

• Proven track record of taking a digital pilot and scaling it to an enterprise-wide standard of care.

• Active, unrestricted PA Medical License

Substitutions

• MD Required

Preferred

• Board Certification in Clinical Informatics (ABPM)

SKILLS:

• AI/Tech Fluency

• Operational Scale

• Visionary & Pragmatic

• Collaborative Influencer

• Data-Driven

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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