- CenterWell (Carson City, NV)
- …a part of our caring community and help us put health first** The Associate Director , Risk Adjustment oversees quality assurance audits of medical records, ... (CMS), other payers, and over government agencies. In addition, the Associate Director , Risk Adjustment oversees all medical coding education activities. The… more
- Banner Health (Phoenix, AZ)
- …Health Services Organization (PHSO), will serve as the clinical DYAD to the Executive Director of Risk Adjustment , co-leading a robust team that will ... develops clinical strategies and educational initiatives around the impact that accurate risk adjustment has on the performance of our MA, MSSP, Medicaid, and… more
- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Sr. Director , Medicare Risk Adjustment (MRA) will lead the execution ... strategy and implementation of the organization's Risk Adjustment Programs to optimize the programs' clinical benefit, financial accuracy and ensure program… more
- Mount Sinai Health System (New York, NY)
- …adjustment with a group of practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system. This ... the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1)...drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially… more
- Carle (Urbana, IL)
- Risk Adjustment Education Specialist - HYBRID +...Medical Director to strategically plan and execute Risk Adjustment coding efforts for accuracy and ... None Email a Friend Save Save Apply Now Position Summary: The Risk Adjustment Education Specialist consults with providers and their office staff on a… more
- Centene Corporation (Tallahassee, FL)
- …medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation...include Provider Relations, Quality as well as the Medical Director for the state assigned to ensure compliance of… more
- Providence (Beaverton, OR)
- …the best people, we must empower them._** **Providence Health Plan is calling an HCC Risk Adjustment QA Auditor: Medicare Advantage & ACA who will:** + Perform ... audits of hierarchical condition category (HCC) coding review for Risk Adjustment staff, contractors, and vendors +...projects + Partner with the coding team, Supervisors, and Director to improve the accuracy, integrity, and quality of… more
- Highmark Health (Pittsburgh, PA)
- …with VP of Revenue Program Management in support of governmental products where Risk Adjustment methodologies apply. Functions as the business owner of the ... risk adjustment process as well as identifying... risk adjustment process as well as identifying and applying best...practices and processes to ensure efficacy and accuracy of risk adjustment programs. Identifies and recommends both… more
- Bristol Myers Squibb (Princeton, NJ)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Senior Director of Risk Diligence and Oversight will play a critical ... leadership role in managing and overseeing third party risk for Bristol Myers Squibb. This position focuses on...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Stark Tech Group (Buffalo, NY)
- …+ Competitive pay + Career development How do you excel in this position The Director of Risk Management & Safety administers and oversees the companies' risk ... we looking for + Bachelor's degree in occupational health and safety, Risk Management, Industrial Engineering, Environmental Health, or a related field is required.… more
- Conviva (Tallahassee, FL)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety...Responsible for performance management and strategy development for PCO risk adjustment at the division and market… 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
- Mitsubishi Chemical Group (Jersey City, NJ)
- …on real-world evidence, and creating hope for all facing illness. The Associate Director , Project Management is an integral member of the Product Development Teams ... Development Strategy. As a senior, highly experienced team member, the Associate Director , Project Management is responsible for monitoring the execution of the Drug… more
- Bristol Myers Squibb (Princeton, NJ)
- …Development Organizations . In this role, you will combine your knowledge about risk mitigation strategies , such as education and monitoring, with data analytics ... about executional risk to help the business make well-informed, risk...their decisions. + Under the direction of the Senior Director , US and Above Market Medical and Market Access… more
- Tucson Electric Power (Tucson, AZ)
- ** Director , Wholesale Marketing** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **5672** **About Us** UNS Energy Corporation ... our employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Director , Wholesale Marketing** **Position Description** Responsible for the oversight… more
- AIG (Atlanta, GA)
- …position requires the adjustment of complex aircraft damage claims. The Complex Director will function as a key account contact for multiple programs across all ... are reimagining the way we help customers to manage risk . Join us as a North American Aerospace Claims...Join us as a North American Aerospace Claims Complex Director Severity to play your part in that transformation.… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . ** Director , Medical Safety Assessment Physician (Immunology)** **Functional Area Description** ... single case and aggregate safety monitoring, safety reporting, contributing to benefit- risk assessment, risk management planning and strategy, execution of… more
- Bristol Myers Squibb (Devens, MA)
- …lives. Read more: careers.bms.com/working-with-us . **Title: Sr. Manager / Associate Director , Global Sterility Assurance CTTO** **Location: Seattle, WA, Devens, MA ... here at BMS with our Cell Therapy team. T he **Sr Manager/Associate Director - Sterility Assurance, Cell therapy technical Operations** reports to the Director… more
- RELX INC (Franklin, TN)
- …the link below. https:// risk .lexisnexis.com/government About our Team The LexisNexis Risk Solutions - Government Marketing Director is the 'Strategic ... eCommerce experience in executing strategic marketing programs? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk… more
- RELX INC (Cambridge, MA)
- Senior Director -Product ManagementAre you a thought leader and innovator seeking a new opportunity? Would you like to lead a team to solve complex business problems? ... About the Business LexisNexis Risk Solutions is the essential partner in the assessment...underlying master data records. About the Role The Senior Director Product Management will take difficult and complex problems… more