Remote Risk Adjustment Coder Jobs in Pennsylvania

Job Description Summary

Taking primary care to the leading edge of medicine through an innovative and interconnected value-based platform from which today's physicians rise to tomorrow's healthcare challenges.
Fort Myers-based Millennium Physician Group is a national leader in value-based healthcare as a consistently top-ranked Accountable Care Organizations (ACO). Founded in Port Charlotte, Florida, in 2008, and now headquartered in Fort Myers, Millennium Healthcare has quickly become the leading independent physician group with more than 900 healthcare providers across Florida, Georgia, North Carolina, Texas and growing.
About Mosaic Health & Millennium Physician Group
Mosaic Health is transforming healthcare through an innovative, interconnected value-based care platform that empowers physicians to deliver exceptional outcomes for patients and communities. Millennium Physician Group, a Mosaic Health company, is one of the nation's leading independent physician groups and a top-performing Accountable Care Organization (ACO), serving hundreds of thousands of patients across multiple states through a physician-led, value-based care model.
We are seeking an experienced and relationship-driven Chief Medical Officer (CMO) to lead clinical strategy, physician engagement, and operational performance across our Indiana market.

How will you make an impact & Requirements

The Chief Medical officer serves as the senior physician leader for a defined Indiana territory spanning approximately 5-7 counties. This highly visible leadership role is responsible for advancing clinical excellence, provider performance, value-based care outcomes, and strategic health system partnerships.

The ideal candidate is a respected physician leader who is equally comfortable operating within hospital systems and community-based physician practices. This individual will serve as a trusted advisor to physicians, health system executives, operational leaders, and community stakeholders while driving measurable performance across quality, utilization, patient experience, and financial outcomes.

A significant focus of this role is supporting and strengthening Millennium Physician Group's strategic partnership with Franciscan Health and advancing care delivery for approximately 76,000 value-based lives across the market.

Key Responsibilities

Clinical Leadership & Provider Engagement

• Lead and support physicians and advanced practice providers (APPs) in achieving quality, patient experience, utilization, and cost-efficiency goals.
• Serve as a mentor, coach, and trusted clinical leader across the region.
• Promote evidence-based medicine, clinical best practices, and adherence to care standards.
• Facilitate peer review, provider development, and clinical education initiatives.
• Support accurate and timely clinical documentation and coding practices.

Value-Based Care Performance

• Drive performance within value-based care and population health programs.
• Monitor provider and practice-level performance metrics and implement improvement strategies.
• Collaborate with analytics, operational, and clinical teams to identify opportunities for enhanced outcomes and cost containment.
• Lead initiatives focused on quality improvement, risk adjustment, care coordination, and utilization management.

Health System & Community Partnership Development

• Serve as the primary physician executive supporting Millennium Physician Group's relationship with Franciscan Health.
• Build and maintain strong relationships with hospital executives, physician leaders, specialists, and community providers.
• Act as a clinical liaison across hospitals, post-acute facilities, rehabilitation centers, skilled nursing facilities, and community organizations.
• Foster collaboration across the continuum of care to improve patient outcomes and care transitions.

Operational & Strategic Leadership

• Partner closely with regional operational leaders to optimize practice performance and care delivery models.
• Support regional growth, market development, and strategic initiatives.
• Identify opportunities for innovation, including integrated care models, telehealth, home-based care, and other value-based care solutions.
• Participate in organizational committees, physician advisory groups, and special projects.
• Ensure compliance with regulatory, accreditation, and organizational standards.

Candidate Profile

Successful candidates will demonstrate:

• Strong physician leadership presence with the ability to influence without direct authority.
• Exceptional interpersonal and relationship-building skills.
• Deep commitment to community engagement and visible market presence.
• Proven operational acumen and ability to drive measurable performance improvements.
• Expertise in value-based care, population health, and physician performance management.
• Ability to navigate seamlessly between hospital systems and independent/group practice environments.
• Entrepreneurial mindset with a willingness to spend significant time in the field supporting providers and partners.

This is a highly collaborative and relationship-focused leadership role requiring a physician who is visible, accessible, and invested in the communities served.

Required Qualifications

• MD or DO degree from an accredited institution.
• Board certification in a primary care specialty preferred.
• Active Indiana medical license or ability to obtain Indiana licensure.
• Minimum of 5 years of clinical practice experience.
• Prior physician leadership experience in a value-based care environment strongly preferred.
• Demonstrated success leading provider performance, quality initiatives, and clinical operations.
• Experience working with health systems, physician groups, and community healthcare partners.
• Strong understanding of value-based reimbursement models, population health, and care transformation.

Required Technology Experience

Epic EMR experience is required.

Candidates must have demonstrated experience utilizing Epic in clinical practice and/or physician leadership roles. As Epic will remain the organization's primary electronic health record platform for the foreseeable future, candidates without Epic experience will not be considered.

Travel & Market Presence

This is a field-based leadership position requiring substantial travel throughout the assigned Indiana territory.

Candidates must maintain a consistent and visible presence within the market and be comfortable spending significant time visiting physician practices, hospitals, health system partners, and community stakeholders.

Preferred home base locations include:

• South Bend, Indiana
• Indianapolis, Indiana

Candidates residing in Chicago, Illinois or Gary, Indiana may be considered with a demonstrated commitment to extensive in-market travel and engagement.