Director, Value Delivery
firsthand provided pay range
This range is provided by firsthand. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range
$140,000.00/yr - $150,000.00/yr
firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians, which focuses on meeting each individual where they are and walking with them side by side as a trusted guide, partner, and first call on their journey to wellness. firsthand's team members use their lived experience to build trust with these individuals and support them in obtaining socio-economic assistance and in reconnecting to primary and behavioral care. Support like this creates substantial savings for managed care organizations (Medicaid providers) and taxpayers by decreasing inappropriate healthcare utilization. This enables us to build solutions that scale and, as a result, change the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. firsthand’s Activation team serves individuals in the first 60-90 days of being engaged. The individuals firsthand serves often are not regularly plugged into quality care. In this activation phase, firsthand aims to understand an individual’s holistic clinical needs so that individuals can get plugged into the right benefit and care programs for their recovery journey. The Director will be responsible for the analytics and operational performance management for appropriate clinical documentation. As a Director of Value Delivery, you will:
- Be responsible for the performance management and strategy development for Medicaid and Medicare risk adjustment at firsthand, partnering closely with CDI, Medical Records, Billing, and other Activation Team leaders
- Manage, coach and develop firsthand’s Clinical Documentation Manager
- Partner with Product, Engineering, and Data teams to influence and execute Technology capability roadmaps that impact or enable Clinical Documentation
- Proactively communicate Clinical Documentation performance, opportunities and risks to firsthand’s executive Leadership and Finance teams
- Collaborate with Community Operations leadership to guide performance management for Health Guide (HG) visit scheduling and other key metrics (e.g., condition addressal)
- Partner with Compliance and Activation teams to develop and manage company-wide policies for risk adjustment and coding practice to ensure clinical documentation integrity
- At least 8-10 years of professional experience
- Strong communication, interpersonal, and organizational skills
- Highly effective at directly managing or influencing high-performing teams
- Working knowledge of performance managing risk adjustment programs
- Strong individual-centered service orientation
- Ability to manage ambiguity, work in a fast-paced environment, and collaborate cross-functionally
- Experience in healthcare, plan or provider operations and relations or related experience
- Comfortable adapting to and managing ambiguity
- Demonstrated track record of accountability working in a highly cross-functional, matrixed, fast-paced environment with humility and a bias for action
- Strong analytical and logical skills paired with familiarity with BI tools, such as Snowflake, MySQL, QuickSight, etc
- Expertise in Medicare risk adjustment methodologies (CMS-HCC model)
- Experience with Medicaid risk adjustment models, such as CDPS and ACG
- Bachelors or Masters Degree in business, finance, management, analytics, or equivalent
- Professional experience in high-growth startup environments
- Experience serving those with complex medical conditions, and preferably SMI and/or SUD
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Seniority level
Not Applicable -
Employment type
Full-time -
Job function
Information Technology -
Industries
Mental Health Care
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