Director of Quality and Revenue Integrity at Pruitthealth — NeverHard
Director of Quality and Revenue Integrity at Pruitthealth in Parkway, Gwinnett County. Apply on NeverHard.
Company
Pruitthealth
Location
Parkway, Gwinnett County
Type
full_time
Job Purpose: The purpose of this role is to provide strategic leadership for Medicare Advantage quality performance, risk adjustment, coding integrity and reimbursement optimization across PruittHealth Premier health plans and VBC provider initiatives. Integrates MOC, HEDIS, Star Ratings, utilization, and HCC/RAF into actionable provider-level strategies improving outcomes, reducing hospitalizations, and enhancing revenue integrity. Key Responsibilities: This position is considered an office po…