The Executive Director CHMG Value Performance is accountable for driving high-performance operations and optimizing revenue outcomes across all CHMG primary and specialty care service lines. This position will serve as a trusted partner to clinical and administrative leadership, leading medical group wide improvements in revenue cycle performance, data transparency, managed care strategy, and workflow optimization. This is a high-impact leadership role operating within a dyad model. The position collaborates extensively with CHMG leadership, practice management, the Value-Based Care (VBCI) team, Revenue Cycle Management (RCM), training, analytics, and contracting teams across the Cone Health system.
Essential Function: Key Responsibilities Strategic Revenue Optimization
- Lead the development and execution of a medical-group-wide strategy to enhance revenue performance, reduce leakage, and support data-driven decision-making.
- Drive standardization of workflows, performance measurement, and best practices across value-based care, access, revenue integrity, and growth initiatives.
- Partner with RCM and Training teams to optimize coding accuracy, documentation integrity, charge capture, and revenue realization across the continuum of care.
Operational Performance Leadership
- Standardize and optimize front- and back-end revenue workflows across all CHMG practices.
- Analyze operational and financial performance metrics, identify gaps, and lead initiatives to improve consistency and performance across offices and departments.
Managed Care & Contracting Collaboration
- Partner with the Cone Health Contracting team to inform payer strategy, monitor contract performance, and assess financial impact from a medical group perspective.
- Ensure organizational readiness for payer changes, reimbursement shifts, and regulatory updates that impact revenue and operational workflows.
Office-Level Engagement and Accountability
- Establish a cadence of regular in-person and virtual engagement with practice leaders and staff to review performance metrics, identify barriers, and implement solutions.
- Foster a culture of continuous improvement by engaging frontline teams in performance discussions and equipping them with actionable data and tools.
- Ensure performance data is accessible, interpretable, and meaningful at the practice and provider level.
Data Strategy and Transparency
- Partner with RCM and Analytics teams to develop user-friendly dashboards and performance tools with clearly defined KPIs.
- Identify positive and negative performance trends and work collaboratively with stakeholders to drive sustainable improvement.
- Implement office-level and enterprise KPIs to track progress toward financial, operational, and value-based care goals.
- Enable real-time, actionable insights to support accurate billing, denial prevention, scheduling efficiency, and patient experience.
Training, Standardization, and Retention
- Collaborate with the Training team to standardize workflows, documentation protocols, and revenue procedures across CHMG.
- Ensure onboarding and ongoing education programs incorporate measurable KPIs, compliance standards, and performance expectations.
- Facilitate targeted and recurring retraining to address performance gaps, reinforce best practices, and support workforce retention and excellence.
Education: Required: Graduate Degree in Business, Finance or Health Care Administration; or BA/BS in Business, Finance or Health Care with 15+ years of Health Care Management experience. Preferred: Graduate Degree in Business, Finance or Health Care Administration. Experience: Required: Minimum of 10 years' experience in Physician Practice Management or Ambulatory Health Care Management Preferred: 15+ years practice management experience License/Certifications: Required: Valid Driver's License, MGMA CMPE or attained within 36 months of hire
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