Millennium Physician Group

Role Description - Abstract and assign ICD 10 CM diagnosis codes supported in encounter documentation and work independently with minimal oversight from leadership or higher level coders. - Conduct retrospective audits of medical records to validate diagnosis coding accuracy, completeness, and claim submission quality. - Perform comprehensive reviews of provider actions within the Value Based Alert Tool (VBAT) to identify outliers and improvement opportunities. - Analyze Medicare Risk Adjustment (MRA) data to identify coding or documentation patterns and assist in developing interventions at the provider or regional level. - Keep leadership aware of project activities through written and oral updates; proactively identify project risks. - Consistently meet or exceed accuracy and productivity benchmarks. - May be assigned additional projects or a higher workload volume than a Level I specialist. Qualifications - Minimum 2 years of coding or related medical experience, including 1 year of HCC coding. - Advanced knowledge of medical terminology, anatomy, physiology, and disease processes. - Extensive understanding of ICD‑10‑CM conventions, documentation standards, and reimbursement systems. - Strong technical skills, including proficiency with MS Office (Excel, Word, Access, PowerPoint). - Demonstrated ability to use a variety of electronic medical record systems. - Ability to manage a significant workload and meet deadlines with minimal supervision. - Strong organizational, analytical, mathematical, and problem‑solving skills. - Effective written and verbal communication abilities. - Experience contributing to project work, educational development, or group presentations.

Role Description The Revenue Cycle-CSR is responsible to provide support to patients, providers and customers internally and externally on billing related inquiries. The employee works insurance claims and patient accounts using department guidelines and MPG electronic systems. The position requires a thorough knowledge of insurance carrier billing and reimbursement, CPT, modifiers and fee schedule differences. Also requires understanding of how to decipher explanation of benefits and explain the impact to the customer. Position requires the ability to conduct both telephone, portal and face to face meetings with patients regarding account resolution and payment collection. Assist customers with hardship applications, payment plans and eligibility for services. Expert verbal communication, interpersonal skills and professional appearance required for dealing with customers. Additional duties as required. Qualifications - Demonstrate excellent interpersonal skills with patients, co-workers and insurance carriers. - Well-versed with all HIPAA Guidelines to ensure the protection of patient information from unauthorized inquiries. - Advanced knowledge of CPT and modifiers. Requirements - Process and post payments to accounts same day. - Resolve patient complaints within a minimal timeframe, same day whenever possible. - Meet timelines for reprocessing Athena claims after updating the account with new information as provided by patients or physicians within the guidelines and timeframes permitted by the insurance carrier. - Phones answered & voicemails returned within same day/next day as per department metrics. - Claim adjudication carrier rules knowledge. - Conducts themselves in accordance with MPG Policies and Procedures including the Code of Conduct. - Meets or Exceeds monthly performance goals, expectations and reviews. - Uses Paid Time Off effectively. - Keeps overtime to a minimum/has any overtime approved by Manager.

Role Description We are seeking a dynamic, board-certified physician to serve as the Medical Director for our rapidly growing Florida (statewide) house calls program. This pivotal role combines direct patient care with executive clinical leadership. You will work alongside the Director of Florida House calls, in a dyad model, to oversee a dedicated team of Advanced Practice Registered Nurses (APRNs) across Florida, ensuring the delivery of high-quality, value-based care to frail geriatric populations within the comfort of their homes. The ideal candidate is a visionary clinician with a deep understanding of the complexities of geriatric and palliative care, possessing the administrative acumen to scale clinical operations while maintaining rigorous quality standards. Qualifications - Medical Degree (MD or DO) from an accredited institution. - Current Board Certification in Geriatric Medicine or Hospice and Palliative Medicine is highly preferred. Internal Medicine or Family Medicine with extensive geriatric experience will be considered. - Unrestricted Florida Medical License and valid DEA registration. Requirements - Minimum of 3 years of clinical practice, specifically caring for geriatric or frail populations. - Deep functional knowledge of Value-Based Care (VBC) models, Medicare Advantage, and risk-adjustment coding (HCC). - Strong interpersonal skills with a focus on collaborative leadership with Advanced Practice Providers. - Ability to travel across the Florida region as needed for clinical days and provider training. - Proficiency in clinical informatics and utilizing data to drive quality improvements. Company Description

Role Description Lead / Senior BOI/Risk Adjustment Analyst serves as a strategic and technical leader supporting the organization’s Burden of Illness (BOI) programs, focusing MSSP ACOs, Medicare Advantage, Commercial ACOs, and other risk-based arrangements. This role is responsible for designing and leading advanced analytics initiatives that drive performance improvement. This position partners closely with executive leadership, BOI operations, healthcare economics, clinical operations to deliver actionable insights from complex healthcare datasets (claims, EHR, risk adjustment, and attribution data). The Senior Analyst functions as a subject matter expert in value-based risk adjustment and plays a key role in shaping data strategy, reporting architecture, and analytic methodologies. This role requires advanced technical expertise in SQL and Tableau, as well as hands-on experience with modern data platforms including Snowflake, Databricks, DBT, and enterprise data warehouse environments. Qualifications - Bachelor’s degree in Healthcare Administration, Business, Economics, Data Science, Statistics, or related field required. - Master’s degree (MBA, MPH, MHA, MS Analytics, or related field) strongly preferred. - 5–8+ years of progressive experience in healthcare analytics, with at least 3–5 years focused on risk adjustment, BOI analytics, or value-based care. - Demonstrated experience supporting: - Medicare Advantage risk adjustment (CMS-HCC) - MSSP / ACO performance and attribution models - Commercial risk arrangements - Suspecting, recapture, and coding optimization programs - RAF forecasting and financial impact modeling - Benchmarking and performance measurement - Strong experience working with large healthcare claims, EHR, and risk adjustment datasets required. - Experience in provider organizations, ACOs, payers, or healthcare consulting strongly preferred. Requirements - Lead end-to-end analytics supporting Burden of Illness (BOI) strategy across MSSP, Medicare Advantage, Commercial ACOs, and other risk-based contracts. - Own analysis of risk score performance, suspecting, recapture, and coding accuracy to drive RAF optimization and revenue integrity. - Identify drivers of variation in risk capture, coding completeness, and disease burden across providers, markets, and populations. - Partner with executive leadership, clinical, and operational teams to translate insights into actionable risk adjustment and care optimization strategies. - Serve as a subject matter expert in CMS-HCC, risk adjustment methodologies, BOI frameworks. - Design, build, and optimize complex SQL queries across integrated datasets including claims, EHR, risk adjustment outputs, quality data, and attribution files. - Develop scalable data models supporting BOI tracking, RAF performance, suspecting logic, and coding opportunity identification using dbt in Snowflake and/or Databricks. - Build and maintain data pipelines supporting recurring risk adjustment reporting, provider performance tracking, and executive dashboards. - Partner with data engineering to enhance EDW structure, data governance, and performance optimization for risk and BOI analytics. - Architect and maintain enterprise dashboards in Tableau focused on: - Risk score (RAF) performance and trend analysis - Suspecting and recapture opportunity tracking - Coding accuracy and provider performance - Automate recurring reporting to support prospective and retrospective risk adjustment workflows. - Deliver clear, actionable insights to executive leadership, providers, and operational teams to drive behavior change and performance improvement. - Partner with risk adjustment operations, coding teams, clinical leadership, quality, and care management to evaluate intervention effectiveness and close care gaps. - Support finance and FP&A with RAF projections, revenue forecasting, accruals, and contract performance analytics. - Support strategic initiatives requiring integrated clinical, financial, and risk-based analysis. Required Technical Skills - Advanced SQL (expert-level proficiency required) - Snowflake (data warehousing and performance optimization) - Tableau (enterprise dashboard development and visualization) - Advanced Microsoft Excel - Deep familiarity with CMS-HCC models, MAO-04 etc.

Role Description Under the direction of Burden of Illness department leadership, the Risk Adjustment Coding Specialist is responsible for various aspects of decision-making and coding reviews to facilitate, obtain, validate, and reconcile appropriate provider documentation for clinical conditions that accurately reflect the severity of illness and complexity of patient care. This position is responsible for risk adjustment coding and quality assurance validation for the following programs, including but not limited to: - Prospective medical record review - Concurrent outpatient claim diagnosis coding - Retrospective medical record and provider response reviews Qualifications - Experience in risk adjustment coding - Knowledge of medical terminology and coding guidelines - Strong analytical and decision-making skills Requirements - Ability to work independently and as part of a team - Excellent communication skills - Attention to detail and accuracy Benefits - Comprehensive health insurance - Retirement savings plan - Professional development opportunities

Role Description Under the direction of the Sr. Manager, Risk Adjustment, the Burden of Illness Education Supervisor is responsible for providing first-line supervision for the Burden of Illness team of educators. Supervisor responsibilities include but are not limited to: - Daily supervision and monitoring of quality and productivity performance. - Interviewing, hiring, and any necessary discipline of staff. - Participation in process improvement projects and supporting the work needed to meet department and organizational wide goals. The position will oversee and coordinate all aspects of provider and medical staff education provided by each respective regional educator. S/he will plan, implement, and evaluate HCC education through a variety of mediums including: - Direct, interactive learning sessions individually or in group settings. - Written guides and protocols. - Audits, etc. S/he will monitor various audits and reports to determine areas for improvement and ensure each region receives the assistance and direction deemed appropriate. S/he will communicate with department and site management ensuring that all providers and staff are performing to Millennium’s standards and fulfilling established goals. The position requires a high degree of collaboration with Medical Directors, Value-Based Operational Leadership, and other members of the Burden of Illness department such as concurrent and retrospective coding audit teams and Quality Assurance teams to support shared initiatives. Qualifications - High school diploma or GED equivalent. - Minimum 3 years’ experience working in payor or healthcare provider organization, specifically with roles in value-based care/risk adjustment. - Minimum 1 year experience in a lead/senior role. - Certified Risk Adjustment Coder (CRC). - Additional acceptable credentials include: Certified Professional Coder (CPC) or other AAPC or AHIMA approved coding credential. - 5+ years of experience working in healthcare provider organization, specifically with roles in value-based care/risk adjustment (preferred). - 3+ years experience presenting/educating healthcare professionals (preferred). Requirements - Strong communication skills; able to interact with physicians and other clinicians on a professional level. - In-depth knowledge of ICD-10-CM diagnostic coding in the Medicare Risk Adjustment environment. - In-depth knowledge of NCQA technical specifications, value sets, and clinical standards of care. - Strong provider organization root cause analysis of provider office workflows and processes. - Must have excellent time management skills, be highly organized, self-motivated. - Excellent customer service, problem solving skills and attention to detail. - The ability to follow through timely on tasks is essential. - Possess excellent written, verbal, and interpersonal communication skills. - Must possess initiative; tact; poise; neat personal appearance; physical condition commensurate with the requirements of the position. - Project management of multiple initiatives with the ability to prioritize and meet deadlines. Benefits - Provides daily supervision of education staff and feedback to the Sr. Manager, Risk Adjustment on performance. - Leads hiring, interviewing, onboarding, and discipline of staff. - Provides ongoing feedback to staff on areas of success and improvement opportunities. - Ensures compliance with official guidelines, policies, and standard procedures. - Counsels staff on actions required to meet minimum performance requirements. - Prepares staffing schedules for adequate coverage. - Monitors provider education based on audits and departmental metrics. - Plans, develops, and designs HCC education and training programs. - Evaluates education visit notes and revises curriculum materials as appropriate. - Coordinates with MRA Managers to meet benchmarks. - Provides clear communication to varying audiences. - Executes process improvement projects. - Stays current on coding and documentation guideline changes. - Serves as a point of contact for Risk Adjustment expertise. - Supports the MRA department with emphasis on excellent service. - Adaptable to shifting priorities and demonstrates willingness to meet department needs. - Understands and complies with confidentiality policies and procedures. - Demonstrates excellent time management and participates in required meetings. - Promotes Millennium Physician Group’s values. - Performs other job-related duties as assigned. Supervisory Responsibilities Directly supervises assigned employees in the MRA department. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include: - Interviewing, hiring, and training employees. - Planning, assigning, and directing work. - Appraising performance. - Rewarding and disciplining employees. - Addressing complaints and resolving problems.

Job Description Summary ‎ The Senior Director, Specialty Network Management, is responsible for defining, launching, and scaling the organization’s Preferred Provider Network (PPN) strategy across key specialty areas. This senior leadership role drives the development of specialty-specific standards, analytics frameworks, and provider partnerships to improve clinical quality, access, and total medical expense. The Senior Director will collaborate cross-functionally with analytics, clinical, and operational teams to ensure successful program execution, adoption, and continuous improvement.‎ How will you make an impact & Requirements ‎ Set strategy and launch network: Define MPG’s Specialist Preferred Partner Network (PPN) strategy and execute a phased rollout. Identify high-value specialists: Partner with MedEcon to create specialty scorecards and a value assessment framework to enable data-informed network design decisions. Define standards and clinical pathways: Establish specialty-specific clinical value and performance expectations (quality, outcomes, access, communication, total cost of care). Develop partnerships: Build relationships with identified external specialist groups; establish and negotiate agreements with clear service levels, incentives, and performance terms. Program governance: Lead monthly joint operating reviews with external provider partners to share data, identify and resolve issues, and drive continuous improvement. Cross-functional execution: Build relationships and partner across functions (e.g., Regional Operations and Clinical Leadership, IT Leadership, Referral Management Leadership) to design effective processes that enable an effective rollout of the PPN. Drive internal adoption: Embed referral pathways and decision-support prompts in the EHR; educate PCPs and other team members on the new PPN design, increase PCP adoption by soliciting feedback and refining workflows. Measurement and reporting: Partner with MedEcon and Finance to measure and report on PPN performance and impact, including operational, clinical, and financial KPIs. Scale what works: Codify repeatable playbooks and expand the PPN to new specialties and markets, prioritizing rollout based on opportunity to improve quality and outcomes for Millennium patients. Be a patient-centric team player: Demonstrate excellent guest service to internal team members and patients. Rise to the occasion: Perform other related duties as assigned.

Title: Payroll Analyst II Hybrid - Full Time locations Punta Gorda, FL time type Full time Job Description Summary ‎ LOCATION: Hybrid (Punta Gorda, FL) or Remote (For highly qualified candidates) This position analyzes, manages, and optimizes an organization's payroll process, ensuring accurate and timely employee compensation while maintaining compliance with labor laws and tax regulations, handling data, processing transactions, reconciling accounts, and acting as a liaison with HR and Accounting. They use data to find efficiencies, resolve discrepancies, prepare reports, and ensure legal adherence for things like wage, tax, and deductions. This role is crucial for our organization's financial health, bridging the gap between HR, accounting, and employees to ensure everyone gets paid correctly and legally, minimizing risks and improving operational flow. Reports to Sr. Payroll Manager. ‎ How will you make an impact & Requirements ‎ Core Responsibilities - Data Management: Gathering, validating, and analyzing payroll data for accuracy. - Processing & Compliance: Processing paychecks, managing taxes, deductions, garnishments, and ensuring adherence to federal, state, and local laws. - Auditing & Reconciliation: Performing internal audits, reconciling payroll transactions, and correcting errors. - Reporting: Preparing payroll reports, accounting transactions, and various documents for appropriate parties and special reports for management each payroll or as requested. - Cross-functional Collaboration: Working with HR, Accounting, Treasury, and other departments on payroll-related matters. - Process Improvement: Identifying and implementing ways to make payroll processes more efficient and effective. Key Skills & Knowledge - Knowledge of Laws: Deep understanding of wage and hour laws, tax regulations, and state/federal requirements. - Analytical Skills: Using data to solve problems and improve processes. - Technical Skills: Proficiency with payroll software, such as ADP and Workday, and software tools like Excel and Outlook. - Attention to Detail: Essential for accuracy in calculations and data entry. - Communication: Clear, concise written and oral conveyance is an essential function. Excellent customer service. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily and have the ability to work independently in a fast paced, cross-functional environment. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience - 5+ years in Payroll, performing all payroll functions. - Intermediate to advanced Microsoft Office skills, specifically Outlook, Word, and Excel. - Strong proficiency in Microsoft Excel, including advanced formula knowledge and experience with PivotTables. - Excellent customer service. Exercise highest discretion and professional prudence. - Ability to remain flexible, positive, and enthusiastic to changes and new assignments. - Aptitude to perform tasks independently and/or remote or virtual. - Experience with ADP or similar payroll systems. - CPP or FPC certification preferred. Physical Demands Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker must have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Ability to lift to 15 lbs. independently not to exceed 50 lbs. without help. Compensation: $61,226.00 to $91,839.00

Job Description Summary ‎ Clinical Quality Specialist I — Summary The Clinical Quality Specialist I supports the annual HEDIS data collection and reporting process by performing chart review and retrieval, as well as documentation validation. This role ensures patients receive multiple opportunities to meet HEDIS specifications, assist with outreach to patients and other medical facilities for missing information. Works under close supervision and follows established workflows to help the organization meet quality performance goals. Minimum of three years’ experience in a medical clerical role. Key Focus Areas Proficiency within EMR systems and record keeping portals. Conduct patient outreach to order and schedule preventative services and tests. Aid in sustaining continuous reconciliation of patient data with payors and internal systems. Perform data entry and maintain tracking spreadsheets. Retrieve and review external medical records for gap closure. Validate documentation against HEDIS requirements. Escalate issues to team lead as needed.‎ How will you make an impact & Requirements ‎ •Clinical Quality Specialist I — Summary •The Clinical Quality Specialist I supports the annual HEDIS data collection and reporting process by performing chart review and retrieval, as well as documentation validation. This role ensures patients receive multiple opportunities to meet HEDIS specifications, assist with outreach to patients and other medical facilities for missing information. Works under close supervision and follows established workflows to help the organization meet quality performance goals. Minimum of three years’ experience in a medical clerical role. •Key Focus Areas •Proficiency within EMR systems and record keeping portals. •Conduct patient outreach to order and schedule preventative services and tests. •Aid in sustaining continuous reconciliation of patient data with payors and internal systems. •Perform data entry and maintain tracking spreadsheets. •Retrieve and review external medical records for gap closure. •Validate documentation against HEDIS requirements. •Escalate issues to team lead as needed.

Job Description Summary ‎ Summary Millennium Physician Group is expanding rapidly and acquiring new practices, requiring seamless integration into our systems. The Temporary Insurance Data Support Specialist will play a critical role in ensuring accurate entry and verification of insurance information during EMR transitions. This individual will review legacy system data, manually input insurance into Athena, and engage directly with patients via phone to gather missing insurance details. The role requires both strong attention to detail and patient-facing communication skills, as well as a foundational understanding of health insurance.‎ How will you make an impact & Requirements ‎ Essential Duties and Responsibilities - Review insurance data in legacy systems and manually enter information into Athena EMR. - Determine correct insurance types, including primary, secondary, and tertiary payers. - Contact patients via phone in a courteous and professional manner to verify or collect missing insurance information. - Document all outreach efforts and update patient records accordingly. - Maintain confidentiality and HIPAA compliance throughout all interactions. - Escalate any unresolved or complex issues to the Integration Manager or Billing Team. - Collaborate with practice staff and integration teams to support timely patient readiness for appointments. Qualifications - High school diploma or GED required. - Prior experience working with health insurance, medical front desk, or patient registration preferred. - Proficiency in identifying insurance plan types and payor hierarchies. - Strong verbal communication and customer service skills. - Experience with EMR systems, particularly Athena, is a plus. - Comfort in a fast-paced, dynamic environment and willingness to adapt to shifting priorities. Skills and Competencies - Patient Service Orientation: Professional and empathetic approach to patient communication. - Attention to Detail: Accurate data entry and verification. - Problem Solving: Ability to troubleshoot insurance-related discrepancies. - Integrity and Confidentiality: Handling of PHI in line with HIPAA regulations. - Teamwork: Collaborative mindset and ability to communicate clearly with team members and practice staff. Physical Demands and Work Environment - Primarily remote or office-based, depending on assignment. - Must be able to sit for extended periods and use standard office equipment. - May be required to make outbound calls for extended durations.