Sr. Practice Group Relations Director

Sr. Practice Group Relations Director

Requirements

• 5+ years of experience in healthcare technology, physician practice operations, value-based care, or related fields.
• Deep understanding of practice group operations, risk-bearing entities, Medicare Advantage, ACOs, and post-acute workflows.
• Strong expertise in HCC coding, reimbursement models, compliance regulations, and interoperability challenges.
• Familiarity with regulatory and compliance frameworks, including CMS guidelines, OIG audits, Stark Law, Anti-Kickback Statute, and HIPAA interoperability rules.
• Proven ability to engage with executive leaders, physicians, and practice managers to understand their business needs and align technology solutions accordingly.
• Proven ability to take accountability for a project, demonstrating initiative, and delivering on commitments to ensure organizational objectives are met.

Responsibilities

• Serve as the primary point of contact for practice groups, proactively engaging with them to understand their clinical, financial, and operational challenges.
• Identify gaps in existing solutions and translate customer feedback into actionable insights for product and engineering teams.
• Facilitate strategic discussions to help practice groups navigate value-based care models, reimbursement strategies, and regulatory changes.
• Attend on-site and remote meetings with customers to understand customer goals, and align those with current utilization and potential opportunities to expand or enhance utilization.
• Connect practice groups with the broader PointClickCare ecosystem, helping them leverage data and tools across SNFs, ALFs, hospitals, ACOs, and payers.
• Map practice group needs to PointClickCare’s capabilities, ensuring solutions are aligned with both short-term challenges and long-term growth objectives.
• Act as an internal advocate for practice groups, ensuring their needs are considered in product roadmaps and solution development.
• Maintain deep expertise in coding changes, reimbursement models, compliance requirements, and regulatory shifts impacting practice groups.
• Stay ahead of emerging trends in value-based care, risk adjustment (HCC/RAF), interoperability, and care coordination.
• Represent PointClickCare at industry events, conferences, and webinars, positioning the company as a thought leader in the practice group space.
• Work closely with Product, Sales, Customer Success, and Marketing teams to refine messaging, support go-to-market strategies, and drive adoption of new solutions.
• Provide strategic input on how PointClickCare can enhance interoperability and streamline data flow between practice groups and other healthcare stakeholders.

Preferred Qualifications

• 10+ years of experience in healthcare technology, physician practice operations, value-based care, or related fields.
• Deep understanding of practice group operations, risk-bearing entities, Medicare Advantage, ACOs, and post-acute workflows. And familiarity with existing PCC solution sets.
• 3+ years of experience in value-based care, risk adjustment, or physician practice operations, with a strong focus on HCC coding, reimbursement strategies, and compliance frameworks.
• Expert knowledge of CMS risk adjustment methodologies, including HCC coding (V24/V28 models), RAF scoring, and Medicare Advantage payment structures.
• Deep familiarity with regulatory and compliance frameworks, including CMS guidelines, OIG audits, Stark Law, Anti-Kickback Statute, and HIPAA interoperability rules.
• Experience with EHR data workflows and interoperability standards, such as FHIR, HL7, ADT feeds, and payer-provider data exchange.
• Proven track record of advising ACOs, D-SNPs, I-SNPs, or other risk-bearing entities on financial and clinical strategies to optimize reimbursement and reduce compliance risk.
• Prior leadership experience in risk-bearing organizations, revenue cycle management, or health policy advisory roles.
• Strong ability to interpret coding trends, regulatory shifts, and market pressures to inform strategic decision-making.