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Vice President Ed Coding Jobs in Michigan (NOW HIRING)

FORVIA

Executive Assistant/HR Admin

Northville, MI

Support special projects for the VP * Uphold company values and Code of Conduct * Perform other duties as assigned Qualifications Education * Degree or coursework in Business, Administration ...

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Vice President Ed Coding information

What are the key skills and qualifications needed to thrive as a Vice President of ED Coding, and why are they important?

To thrive as a Vice President of ED Coding, you need extensive knowledge of medical coding standards (especially CPT and ICD-10), healthcare compliance regulations, and significant leadership experience, often backed by credentials such as RHIA, RHIT, or CCS. Expertise in coding software, EHR systems, revenue cycle management tools, and regulatory reporting platforms is typically required. Strong analytical skills, strategic thinking, team leadership, and the ability to communicate complex information clearly are essential soft skills for this role. These competencies ensure coding accuracy, regulatory compliance, operational efficiency, and effective team management in a high-stakes healthcare environment.

What is the difference between Vice President Ed Coding vs Coding Manager?

AspectVice President Ed CodingCoding Manager
CredentialsTypically requires coding certifications (e.g., CPC, CCS), extensive experience in coding and healthcare administrationRequires coding certifications, experience in coding supervision, and knowledge of healthcare regulations
Work EnvironmentExecutive-level setting, strategic planning, overseeing multiple departmentsOperational setting, managing coding teams, ensuring compliance and accuracy
Employer & IndustryHealthcare organizations, hospitals, health systemsHospitals, clinics, healthcare providers
Search & Comparison IntentUnderstanding high-level leadership roles in codingLearning about management and supervision in coding teams

While both roles require coding certifications and healthcare industry experience, the Vice President Ed Coding focuses on strategic leadership and organizational oversight, whereas the Coding Manager handles day-to-day operations and team management. The VP role is more senior, often involved in policy development, while the Manager ensures coding accuracy and compliance at the operational level.

What does a Vice President of Ed Coding do?

A Vice President of Ed Coding oversees the coding operations within the education (Ed) sector, ensuring that coding standards and compliance are met for educational programs or institutions. Their responsibilities often include managing teams, developing coding policies, ensuring regulatory adherence, and driving efficiency and accuracy in coding processes. They also collaborate with other executives to align coding strategies with organizational goals and may be involved in training and quality assurance. This role typically requires strong leadership skills, a deep understanding of coding standards, and experience in the educational or healthcare industries.

How does the Vice President of ED Coding typically collaborate with clinical and IT teams to improve coding accuracy and compliance?

The Vice President of ED Coding regularly works with clinical staff to ensure that medical documentation aligns with coding requirements and regulatory standards. They also partner closely with IT teams to optimize electronic health record (EHR) systems, implement coding software, and streamline workflows. This collaboration helps identify gaps in documentation, enhances coder training, and supports compliance initiatives, all of which contribute to accurate coding and efficient revenue cycle management. Fostering strong interdepartmental relationships is essential for success in this leadership role.
What are the most commonly searched types of Ed Coding jobs in Michigan? The most popular types of Ed Coding jobs in Michigan are:
What cities in Michigan are hiring for Vice President Ed Coding jobs? Cities in Michigan with the most Vice President Ed Coding job openings:
Vice President Ed Coding jobs near you
Vice President - Chief Actuary & Underwriting

Vice President - Chief Actuary & Underwriting

HAP (Health Alliance Plan)

Troy, MI

Other

Posted 12 days ago

Job description

Reporting to the Health Alliance Plan Chief Financial Officer, the Vice President, Chief Actuary and Underwriting Leader is responsible for actuarial strategy, pricing, underwriting, rate filings, reserving, forecasting, trend analysis, Medicare Advantage bids, model oversight, and related financial analytics. This role serves as a key advisor to Health Alliance Plan and Henry Ford Health leaders, providing actuarial insight to support enterprise forecasting, risk adjustment, value-based care, financial performance, and board/executive decision-making. The leader collaborates with Health Alliance Plan executives and enterprise stakeholders to develop and execute strategies that support pricing integrity, regulatory compliance, competitive products, sustainable membership growth, revenue performance, and operating margin goals.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Works closely with the CFO to ensure the Long-Range Financial Plan reflects the current environment as part of a complex Integrated Delivery Financial System (IDFS).
  • Leads actuarial strategy, premium rate development, and regulatory rate filings for Health Alliance Plan and affiliated companies across commercial fully insured and self-funded, and Medicare Advantage products; partners with HAP CareSource on Medicaid and Michigan Coordinated Health (MICH) products.
  • Develops and maintains reserving and forecasting models, trend analyses, benchmarks, and calculations to support medical cost projections, performance reporting, and financial planning.
  • Provides actuarial and financial insight for annual medical expense budgets, variance reporting, provider contracting, network analysis, and value-based care strategies.
  • Oversees commercial pricing and underwriting activities to support competitive rates, appropriate risk selection, revenue growth, membership growth, profitability, and regulatory compliance.
  • Oversees actuarial activities for Medicare Advantage, including bid development, service area expansion analysis, risk adjustment strategy, CMS-related financial requirements, and related audits or inquiries.
  • Partners cross-functionally with Finance, Product Development, Sales, Operations, Clinical, Risk Adjustment, Compliance, Legal, Provider Contracting, and senior leadership to align actuarial recommendations with benefit design, product strategy, business development, and enterprise execution.
  • Establishes and maintains actuarial governance processes, including assumption documentation, model validation, pricing controls, reserve review, and appropriate review or sign-off protocols for material actuarial work.
  • Ensures actuarial practices comply with applicable CMS, state regulatory, statutory reporting, internal control, and Actuarial Standards of Practice requirements.
  • Advises on employer group and broker discussions as needed, providing actuarial guidance on premium rates, market conditions, and financial strategy.
  • Builds, leads, and develops a high-performing actuarial and underwriting team, ensuring strong collaboration, technical excellence, and continuous improvement.
  • Partners with value-based care providers to develop appropriate stop loss rates.
  • Performs other related duties as assigned.

EDUCATION/EXPERIENCE REQUIRED:

  • Bachelor's degree in actuarial science, mathematics, finance, statistics, economics, or another quantitative discipline required; master's degree preferred.
  • Minimum of seven years of progressive health actuarial experience, including pricing, product development, valuation, forecasting, financial reporting, and risk analysis.
  • Experience supporting health plan products such as commercial, individual, Medicare Advantage, Medicaid, supplemental, or self-funded lines of business preferred.
  • Demonstrated ability to develop actuarial models, analyze medical cost trends, and translate complex financial information into actionable business recommendations.
  • Prior leadership experience, including building teams, developing employees, and managing direct or indirect reports.
  • Proven ability to collaborate across Finance, Sales, Product, Operations, and senior leadership to support business strategy and financial performance.
  • Strong knowledge of healthcare economics, risk adjustment, reserving, forecasting, pricing, Medicare Advantage bid strategy, value-based care economics, and actuarial model governance.
  • Executive-level communication skills, including the ability to translate complex actuarial analysis into clear recommendations for senior leadership, board audiences, and cross-functional stakeholders.

CERTIFICATIONS/LICENSURES REQUIRED:

  • FSA and MAAA designations preferred if serving as Appointed Actuary. ASA candidates with significant health plan actuarial leadership experience may be considered.

Additional Information
  • Organization: HAP (Health Alliance Plan)
  • Department: Actuarial Services
  • Henry Ford Health Location: HAP (Health Alliance Plan) 
  • Shift: Day Job
  • Union Code: Not Applicable

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