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Partner, AI-Enabled CDI, Care Management, and Utilization Management Transformation jobs in United States
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Chartis · 1 month ago

Partner, AI-Enabled CDI, Care Management, and Utilization Management Transformation

Chartis is a healthcare consulting firm dedicated to transforming the US healthcare system. They are seeking a Partner to lead the development and implementation of AI-enabled solutions in clinical documentation improvement, care management, and utilization management, focusing on modernizing workflows through technology and analytics.
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Growth Opportunities

Responsibilities

Lead AI-enabled CDI, Care Management, and Utilization Management transformation engagements within Chartis’ Performance Transformation Line of Business, directing engagement teams, guiding strategic problem solving, and overseeing analyses, client deliverables, and implementation activities
Design AI native CDI, care progression, and utilization review workflows to enable business transformation
Outline business value proposition and savings through analytics and AI into workflows
Align clinical, financial, and operational stakeholders around transformation priorities
Develop scalable AI-enabled offerings across revenue integrity and clinical operations that advance the firm’s thought leadership through distinctive insights, innovative solutions, and new service offerings
Build and maintain trust-based relationships with existing and prospective clients, drawing upon healthcare knowledge and insights to surface and discuss issues within and beyond the scope of specific consulting engagements
Embody the role of people leader by cultivating strong relationships with colleagues, as well as mentoring and developing consulting colleagues
Help maintain a collaborative culture that attracts world-class, passionate, and mission-driven consultants

Qualification

Clinical Documentation ImprovementCare ManagementUtilization ManagementDRGsDenial prevention and managementDocumentation workflowsRevenue integrity operationsEHR workflowsClinical documentation processesHealthcare operational systemsEpic CDI moduleEpic HIM moduleEpic CM moduleCCDS certificationCCM certificationNLPRevenue cycle platformsExecutive communicationStakeholder management

Required

Bachelor's degree is required; advanced degree is preferred
10–15+ years of experience in Clinical Documentation Improvement, Care Management, Utilization Management, revenue cycle operations, or healthcare consulting
Deep expertise in DRGs, denial prevention and management, documentation workflows, and revenue integrity operations
Demonstrated success improving care progression, utilization management, and financial performance across healthcare organizations
Experience partnering with clinicians, physician advisors, and operational leaders to drive transformation initiatives
Strong understanding of EHR workflows, clinical documentation processes, and healthcare operational systems
Experience leading operational improvement or transformation initiatives within complex health systems
Ability to translate operational and clinical challenges into scalable, AI-enabled workflow solutions
Strong executive communication, stakeholder management, and cross-functional collaboration skills

Preferred

Epic (CDI, HIM, CM modules)
Certifications: CCDS, CCM preferred
NLP / AI tools familiarity
Revenue cycle platforms

Benefits

May be eligible for an annual discretionary bonus
Medical
Dental
Vision
HSA
FSA
Disability insurance
Life insurance
401(k) match
Paid time off
Wellness stipend
Additional voluntary benefits

Company

The challenges facing US healthcare are longstanding and all too familiar. We are Chartis, and we believe in better.

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
RLH Equity Partners
2024-08-14Private Equity
2024-08-14Acquired
2012-12-07Private Equity

Leadership Team

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Ken Graboys
Chief Executive Officer
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Sara Vaezy
Managing Partner & Chief Product & Technology Officer
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Company data provided by crunchbase