CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra seeks an Associate Medical Director to join our growing team on a part-time basis.

Job Summary:

This position will assist the Chief Medical Officer (CMO) with accountability for the daily operations and supervision of physician reviewers

*Position is remote within the US*

Job Responsibilities:

• Ensure timely completion of medical record reviews to:

-------- Ensure the quality of services provided to Medicare beneficiaries is consistent with professionally recognized standards of health care

--------- Ensure both Medicare beneficiaries and providers receive their entitled rights and protections related to financial liability and appeals under the Fee-for-Service (FFS) and Medicare Advantage (MA) Programs

--------- Provide information to CMS regional offices to assist with investigations of possible violations of the Emergency Medical Treatment and Labor Act (EMTALA)

• Train, educate, and monitor peer reviewers to ensure their medical record reviews adhere to CMS guidelines and regulatory statutes and are accurate and well written.
• Analyze data for trends that represent opportunities to promote evidence-based healthcare practice and patient-centered care principles to improve healthcare quality of care, improve outcomes to beneficiaries, and lower costs.
• Collaborate with the Communications Department to engage patients, families, and caregivers with the goal of increasing patient knowledge, skill, and confidence to take an active role in managing their health and healthcare.
• Engage the provider and practitioner community to promote activities that support quality improvements in systems of care and coordinate activities for economical and efficient operation of the Medicare program.
• Coordinate activities and information exchanges across QIO contractors and Program stakeholders such as public and private organizations involved in healthcare delivery.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

Thank You!

We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.

Requirements

Required Qualifications/Experience:

• Medical degree (MD or DO) from an accredited institution.
• Active medical license and board certification in a relevant specialty.
• Extensive (minimum of 5 years) clinical experience in a healthcare setting
• Prefer experience with quality improvement and patient-centered care.
• Strong knowledge of Medicare policies and regulations.
• Excellent communication and interpersonal skills to effectively collaborate with healthcare providers, beneficiaries, and CMS.
• Ability to analyze data and provide evidence-based recommendations for quality improvement.
• Demonstrated leadership skills and the ability to work effectively in a team-oriented environment.
• Familiarity with computer technology, and ability to use database and spreadsheets.
• Excellent written/verbal communication and teaching/training skills.
• Management skills including team building, delegation, performance evaluation, and corrective action planning

Preferred Qualifications/Experience:

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

The pay range for this position is $106.00 - $132.60 per hour

“Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”