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Vice President, Clinical Risk Adjustment Advocate Aurora Health Job in Milwaukee, Wisconsin

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Job Title: Vice President, Clinical Risk Adjustment Advocate Aurora Health

Employer:Cejka Search for Advocate Aurora Health
Location: Milwaukee 63141, WI, US
Date Posted:11/6/2019
Cejka Search has been retained by Advocate Aurora Health (AAH) to recruit an accomplished executive leader to serve in the newly created position of Vice President, Clinical Risk Adjustment (CRA).  

Reporting to the Senior Vice President of Population Health and Managed Care and President of Advocate Physician Partners, the Vice President, CRA will be responsible for developing AAH’s enterprise Clinical Risk Adjustment program. Working across the existing three legacy organizations (Advocate, Aurora and Advocate Physician Partners), the Vice President, CRA will establish best practices and policies in clinical documentation improvement while implementing the strategy and operational structure to elevate AAH’s performance in its spectrum of risk adjusted lines of business. The VP, CRA will serve on the division’s executive team and collaborate with key leaders across the three legacy organizations to drive operational improvements in clinical documentation and risk adjustment. The VP, CRA will be integral in creating the newly formed division’s infrastructure and will work with both operations and information technology leadership teams to optimize performance and ensure the new division has the appropriate resources to perform to expectations. This position may reside in Illinois or Wisconsin.

In 2018 Advocate Health Care and Aurora Health, with commonality in their core values, merged with the purpose To Help People Live Well. Now as the 10th largest not-for-profit, integrated health care system in the United States serving nearly 3 million patients each year, Advocate Aurora Health operates 27 hospitals and more than 500 sites of care, affiliates with more than 8,100 providers and consists of a dynamically inclusive workforce of 70,000 team members. Advocate Physician Partners is a leader in population health management and has garnered wide-spread national recognition for its innovative clinical integration program. Advocate Aurora Health’s three affiliated Accountable Care organizations combined saved taxpayers $61M through the MSSP in 2018, while ranking among the largest ACOs in the nation.    

Qualified candidates will be accomplished leaders in Clinical Risk Adjustment with experience in ambulatory operations and leading process improvement around Hierarchical Condition Category (HCC). The VP, CRA must be a proven performer and a problem solver who can execute a strategy and demonstrate results in HCC while building a collaborative team infrastructure. The candidate must possess an understanding of the primary risk adjusted business models of Medicare ACO, Medicare Advantage, and ACA/Commercial. A bachelor’s degree is required; master’s degree or above is preferred.


Paul Esselman
President and Managing Director
Cejka Search

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