Head of Burden of Illness & Risk Adjustment

Millennium Physician Group

Florida

On-site

USD 137,000 - 206,000

Full time

4 days ago
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Job summary

Millennium Physician Group seeks a Director to lead Burden of Illness (BOI) initiatives across physician practices, translating strategy into actionable programs. You will collaborate with Risk Adjustment, Population Health, Practice Operations, and Quality leaders to ensure compliant documentation and measurable performance gains.

Ideal candidates bring extensive CMS-HCC knowledge, 7+ years in Medicare Risk Adjustment or related fields, and strong leadership skills to influence across clinical

Qualifications

  • Knowledge of CMS-HCC Risk Adjustment methodologies and reporting requirements.
  • Experience with Medicare Advantage and value-based care arrangements.
  • Experience with analytics tools to identify opportunities and drive performance.

Responsibilities

  • Provide leadership and subject matter expertise for organizational Burden of Illness initiatives.
  • Monitor BOI indicators and identify patterns requiring intervention.
  • Develop provider education strategies based on documentation opportunities.
  • Establish BOI priorities for physician practices based on performance data.
  • Develop scalable workflows integrating BOI activities into routine practice operations.
  • Coordinate with RBE Partnership leadership and other stakeholders.

Skills

CMS-HCC methodologies
Data interpretation
Executive communication
Provider engagement
Strategic planning

Education

Bachelor's degree in Healthcare Administration
Bachelor's degree in Business Administration
Health Information Management or Public Health
CRC or CPC certification

Tools

Excel
SQL
Tableau
Power BI

Job description

Millennium Physician Group seeks a Director to lead Burden of Illness (BOI) initiatives across physician practices, translating strategy into actionable programs. You will collaborate with Risk Adjustment, Population Health, Practice Operations, and Quality leaders to ensure compliant documentation and measurable performance gains.

Ideal candidates bring extensive CMS-HCC knowledge, 7+ years in Medicare Risk Adjustment or related fields, and strong leadership skills to influence across clinical

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