VP, Clinical Innovation

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Apixio

πŸ’΅ $200k-$260k
πŸ“Remote - Worldwide

Job highlights

Summary

Join Apixio as the Vice President of Clinical Innovation and lead the transformation of complex payment solutions using AI and cutting-edge technologies. This senior leadership role requires pioneering new approaches to clinical payment data analysis, enhancing accuracy and efficiency. You will collaborate with cross-functional teams, develop new content, build customer relationships, and apply clinical and coding knowledge. The position demands strategic leadership, AI integration, innovation, and data-driven decision-making. Success requires ensuring quality and compliance, fostering external partnerships, and representing Apixio in industry forums.

Requirements

  • Proven experience (10+ years) in clinical leadership roles, with at least 5 years in senior payment integrity positions
  • Expertise in the application of AI, machine learning, and automation technologies within healthcare financial operations, particularly in complex payment review processes
  • Deep understanding of payment review workflows, healthcare payment systems, clinical practices, and coding systems (e.g., ICD-10, CPT, HCPCS)
  • Strong track record of leading successful innovation projects, especially those that integrate AI and technology into payment review processes
  • Experience in developing new content and resources to support business objectives and drive client success
  • Proven ability to build and maintain strong customer relationships, with a focus on understanding client needs and delivering impactful solutions
  • Ability to think strategically and lead cross-functional teams in a complex, fast-paced environment
  • Excellent communication and interpersonal skills, with the ability to engage and influence stakeholders at all levels of the organization

Responsibilities

  • Lead the development and execution of the clinical innovation strategy, focusing on leveraging advanced technologies to transform complex payment review processes
  • Align initiatives with organizational goals to drive meaningful change in healthcare payment operations
  • Identify and implement AI-driven solutions to enhance the accuracy and efficiency of complex payment reviews, ensuring compliance with healthcare financial standards and regulations
  • Partner with technology teams to develop and deploy cutting-edge models that improve payment workflows
  • Stay ahead of industry trends, emerging technologies, and regulatory changes in healthcare
  • Foster a culture of innovation by continuously exploring new processes and technologies that can positively impact payment review processes and financial operations
  • Lead efforts in developing new content, resources, and tools to support and improve complex payment review processes
  • Ensure that content aligns with the latest regulatory changes, industry best practices, and clinical coding standards
  • Build and nurture strong relationships with customers, including healthcare providers, payers, and other stakeholders
  • Work closely with clients to understand their needs and challenges, ensuring the delivery of high-value solutions that enhance their payment review processes and improve financial outcomes
  • Leverage a deep understanding of clinical practices and coding systems (e.g., ICD-10, CPT, HCPCS) to enhance the accuracy and efficiency of complex payment reviews
  • Ensure that payment review processes align with current clinical standards and coding regulations to prevent errors and ensure compliance
  • Utilize data analytics to monitor and measure the effectiveness of solutions, ensuring continuous improvement
  • Develop metrics and KPIs to assess the success of clinical innovation initiatives
  • Ensure that innovations in complex payment reviews adhere to all regulatory, ethical, and financial quality standards
  • Work with legal, compliance, and risk management teams to mitigate any potential risks associated with new technologies
  • Represent the organization in external forums, industry conferences, and thought leadership opportunities
  • Develop and maintain relationships with key partners, vendors, and academic institutions to advance complex payment review innovation initiatives

Preferred Qualifications

Nursing degree or advanced clinical degree

Benefits

  • Competitive compensation
  • Exceptional benefits, including medical, dental and vision, FSA/HSA
  • Generous vacation policy

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