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Vice President Hcc Risk Adjustment Coder Jobs in Tennessee

Overview Vice President, Clinical Informatics, Ambulatory and Diagnostic Services Full Time, 80 ... minimal risk. * Actively participates in user groups and national meetings to build knowledge of ...

Vice President, Clinical Informatics, Ambulatory and Diagnostic Services Full Time, 80 Hours Per ... minimal risk. * Actively participates in user groups and national meetings to build knowledge of ...

Lead the revenue cycle technology agenda for clinic operations - including charge capture, coding ... risk management, and FDA / medical-device considerations for treatment and imaging platforms.

S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working ... Works closely with the finance teams to ensure revenue and adjustments to revenue are recorded ...

Vice President- Finance Department: Finance Reports To: Chief Executive Officer (CEO) Location ... Oversee the internal audit function to ensure compliance, risk management, and integrity of ...

... Vice President of Finance to join its executive leadership team. This individual will partner ... Oversee internal controls, risk management, audit activities, and financial process improvements.

... Vice President of Finance to join its executive leadership team. This individual will partner ... Oversee internal controls, risk management, audit activities, and financial process improvements.

Vice President- Finance Department: Finance Reports To: Chief Executive Officer (CEO) Location ... Oversee the internal audit function to ensure compliance, risk management, and integrity of ...

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Vice President Hcc Risk Adjustment Coder information

What is the difference between Vice President Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?

AspectVice President Hcc Risk Adjustment CoderHcc Risk Adjustment Coder
CredentialsAdvanced certifications, leadership experienceCertifications like CPC, CCS, or RHIT
Work EnvironmentExecutive-level, strategic planningOperational, coding departments
Industry UsageUsed in large healthcare organizations, insurersCommon in hospitals, clinics, coding firms

The Vice President Hcc Risk Adjustment Coder focuses on strategic leadership and oversight of risk adjustment coding programs, often requiring advanced certifications and leadership skills. In contrast, the Hcc Risk Adjustment Coder handles day-to-day coding tasks, ensuring accurate HCC coding based on medical records. Both roles are vital in healthcare risk management but differ mainly in scope, responsibilities, and experience level.

How long does it take to become a vice president hcc risk adjustment coder?

Becoming a Vice President HCC Risk Adjustment Coder typically requires several years of experience in medical coding, risk adjustment, or healthcare management, often 5 to 10 years. Progression to this senior leadership role involves gaining expertise in coding accuracy, compliance, and leadership skills, along with relevant certifications such as CPC or CCS, and demonstrated success in managing risk adjustment programs.

What are some common challenges faced by a Vice President HCC Risk Adjustment Coder, and how can they be managed?

A Vice President HCC Risk Adjustment Coder often faces the challenge of ensuring coding accuracy and compliance across large teams while keeping up with evolving CMS guidelines. Managing remote or distributed coding staff, integrating new technology solutions, and balancing productivity with quality assurance are also common hurdles. Success in this role requires strong communication skills, ongoing coder education, and the implementation of robust audit processes to maintain data integrity and regulatory compliance.

What is a Vice President HCC Risk Adjustment Coder?

A Vice President HCC (Hierarchical Condition Category) Risk Adjustment Coder is a senior executive responsible for overseeing the medical coding operations related to risk adjustment in healthcare organizations. They lead teams that ensure accurate coding of patient diagnoses and health information, which impacts how healthcare providers are reimbursed by insurance payers, especially Medicare Advantage plans. Their role typically involves compliance oversight, quality assurance, training coders, and strategic planning to optimize risk scores. These professionals require extensive experience in medical coding, deep knowledge of HCC models, and strong leadership skills. They play a critical part in helping organizations maximize compliant reimbursement and improve patient outcomes.

What are the key skills and qualifications needed to thrive as a Vice President HCC Risk Adjustment Coder?

To thrive as a Vice President HCC Risk Adjustment Coder, you need deep expertise in HCC coding, risk adjustment methodologies, healthcare regulations, and a relevant certification such as CPC, CRC, or CCS. Mastery of coding software, EHR systems, and data analytics platforms is typically required. Leadership, strategic thinking, attention to detail, and strong communication skills distinguish top performers in this role. These skills are crucial for ensuring coding accuracy, regulatory compliance, and driving organizational success in value-based care environments.
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SVP- Business Development- Auto Solutions - Remote

York Risk Services

Memphis, TN โ€ข On-site, Remote

Other

Posted 20 days ago


Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

SVP- Business Development- Auto Solutions - Remote

PRIMARY PURPOSE OF THE ROLE: The Senior Vice President of Business Development is a key senior leader responsible for driving organizational growth, expanding market presence, and developing longterm strategic partnerships. This role leads part of the business development function, identifies highvalue opportunities, and collaborates with senior leadership to execute the company's growth strategy. The SVP provides visionary direction, builds strong external relationships, and ensures alignment between business development initiatives and overall organizational goals.

ESSENTIAL RESPONSIBILITIES MAY INCLUDE

Strategic Leadership

  • Develops and leads the company's business development strategy to support longterm growth and competitive positioning.

  • Evaluates market trends, emerging opportunities, and industry shifts to inform strategic decisionmaking.

  • Partners with the executive team to set revenue goals, growth targets, and organizational priorities.

Business Growth & Market Expansion

  • Identifies, pursues, and secures new business opportunities, strategic partnerships, joint ventures, and acquisitions.

  • Oversees pipeline development and ensures consistent advancement of highvalue opportunities.

  • Expands the company's footprint in existing and new markets by building relationships with key stakeholders and industry leaders.

Relationship Management

  • Cultivates and maintains strong executivelevel relationships with clients, partners, investors, and external organizations.

  • Represents the company at industry events, conferences, and business forums to elevate brand visibility.

  • Negotiates highimpact contracts, agreements, and partnerships that align with organizational goals.

Team Leadership & Development

  • Leads, mentors, and develops a highperforming business development team with a focus on accountability, innovation, and results.

  • Fosters crossfunctional collaboration with Sales, Marketing, Finance, Operations, and Product teams.

  • Establishes performance metrics, monitoring systems, and reporting mechanisms to drive team success.

Financial & Operational Excellence

  • Oversees budgeting, forecasting, and resource allocation for business development initiatives.

  • Uses datadriven insights to evaluate opportunity viability, ROI, and strategic risks.

  • Ensures compliance with organizational policies, legal standards, and industry regulations.

QUALIFICATIONS

Bachelor's degree in business administration, finance, risk management, or a related field, from an accredited college or university preferred. Possession of, or progress towards, CPCU and/or ARM designation required.

Ten plus (10+) years of related experience, to include relationship building in the claims management or risk management area, or equivalent combination of education and experience required. Proven track record of leading large scale growth initiatives and securing high value partnerships. Executive Senior leadership experience within a complex, high growth, or multi-unit organization.

Skills & Knowledge

  • Ability to demonstrate strong strategic thinking and translate market insights into enterpriselevel growth strategies

  • Excellent understanding of business development, including mergers & acquisitions, competitive positioning, and market expansion.

  • Ability to evaluate complex opportunities through financial modeling, ROI assessment, and risk analysis.

  • Ability to exhibit exceptional executive presence and influence senior leaders, boards, and external partners.

  • Ability to foster a culture of accountability, innovation, and results within the business development function.

  • Ability to drive crossfunctional alignment across Sales, Marketing, Finance, Operations, and Product teams to advance organizational strategy.

  • Strong skills in building and managing executivelevel relationships with Csuite leaders, investors, and strategic partners.

  • Strong skills in negotiation with demonstrated success securing highvalue contracts, partnerships, and joint ventures.

  • Ability to communicate complex business opportunities and strategic initiatives through compelling executivelevel presentations and messaging.

  • Excellent understanding of financial and operational leadership, including budgeting, forecasting, pipeline oversight, and resource allocation.

  • Ability to identify emerging market trends and lead innovative strategies to expand market presence and drive transformation.

  • Ability to exercise sound judgment, professionalism, and discretion in highstakes, fastpaced environments.

  • Ability to meet or exceed Performance Competencies.

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

#LI-TS1 #remote

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.