Medical Director responsible for advancing risk adjustment strategies at CareMore Health. Leading clinical documentation efforts and healthcare provider education to ensure revenue integrity and compliance.
Responsibilities
Serve as the clinical expert responsible for advancing CareMore Health’s risk adjustment strategy
Guide providers in accurate and complete documentation of patient complexity and chronic conditions
Ensure compliance with CMS requirements while supporting enterprise revenue integrity
Focus on healthcare provider education, data-driven interventions, and cross-functional collaboration
Maximize risk score accuracy, reduce audit exposure, and align risk adjustment with clinical and business objectives
Requirements
MD or DO required, with active, unrestricted medical license
Board certification in Internal Medicine, Family Medicine, or related specialty strongly preferred
8+ years of clinical practice experience, with at least 3–5 years in an expert-level role involving risk adjustment, clinical documentation improvement (CDI), or value-based care
Demonstrated success leading provider education and engagement programs to improve coding and documentation
Experience with Medicare Advantage and CMS risk adjustment methodology (HCC coding, RAF scoring, RADV audits)
Benefits
Offering effective Advanced Primary Care and Palliative Care
Personalized and compassionate care
Nationally recognized disease prevention and management programs
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