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UC HEALTH LLC VP- Utilization Management & Physician Advisor in CINCINNATI, Ohio

UC Health is hiring a Utilization Management and Physician Advisor Vice President. The Vice President (VP) will collaborate with cross-functional teams to operate the Physician Advisor Program, lead the system-wide CDI initiative, and work to augment utilization management. This position reports directly to the Chief Clinical Officer (CCO) with an indirect report to the Chief Operating Officer (COO). About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. EDUCATION:

  • MD with an advanced degree in healthcare administration, business, or a related field.

LICENSE & CERTIFICATION:

  • Physician licensure in the state of Ohio

YEARS OF EXPERIENCE:

  • 6 - 10 years of equivalent experience

Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable, and diverse place of employment.

  • Develops and leads the physician advisor group, ensuring effective collaboration with physicians.
  • Oversees responsibilities related to clinical practices, patient care, and outcomes.
  • Develops System KPI's and individual score cards.
  • Works with chosen outside consultancy to affect significant system-wide CDI improvements.
  • Oversees and operationalizes best practices for coding accuracy and documentation.
  • Creates a framework to analyze and improve mortality rates/index.
  • Collaborates with finance & revenue to optimize billing processes.
  • Recommends best practices in Utilization review, Physician advisor, CDI, Quality & Performance, and standards to drive continuous improvement.
  • Engages medical staff and physician leaders on resource utilization to support high-quality, efficient, and effective care delivery.
  • Utilizes existing reports and recommends insights that will drive value outcomes and performance in key performance indicators, care continuum operational outcomes, KPIs, and impact.

Develops and leads the physician advisor group, ensuring effective collaboration with physicians.

Oversees responsibilities related to clinical practices, patient care, and outcomes.

Develops System KPI's and individual score cards.

Works with chosen outside consultancy to affect significant system-wide CDI improvements.

Oversees and operationalizes best practices for coding accuracy and documentation.

Creates a framework to analy

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