- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The AVP , Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and ... of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality subject... subject matter expert for the health plan. The AVP leads a plan with a large membership base,… more
- CVS Health (Sacramento, CA)
- …clients.** **Ownership of local market specific MER, P-model, SAI, VBC strategy, risk adjustment , contract deviation and unit cost management.** **Accountable ... collaborate with medical management, medical policy development, pharmacy management, quality improvement, population health, provider network development, provider contracting… more
- Conviva (Tallahassee, FL)
- …collaboration across entities within the Primary Care Organization. **Strategy:** + In partnership with AVP , Risk Adjustment and AVP , MRA Strategy, ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
- Conviva (Tallahassee, FL)
- …organization capabilities interrelate across the function or segment. **Strategy:** + In partnership with AVP , Risk Adjustment and AVP , MRA Strategy, ... (including GenAI) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with… more
- Candela Corporation (Marlborough, MA)
- …of. These programs are supported by Candela's global clinical, regulatory, and quality teams and are managed through our Product Development Process (PDP) and ... Quality Management System (QMS). The Company's headquarters are in...labor Ministry. This position works in unison with the AVP , Global Compensation & Benefits and from time-to-time with… more
- CenterWell (Columbus, OH)
- …Must possess an active RN license + A minimum five years' experience in risk adjustment coding, auditing, and/or education, working with providers + CPC ... of two years' leadership experience + Knowledge of EMR + In-depth knowledge of risk adjustment key performance indicators + Comprehensive knowledge of MS Word,… more