- Ankura (New York, NY)
- …operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also ... of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for clients. +… more
- Point32Health (Canton, MA)
- …business division goals. This position will report to the Director of Risk Adjustment Strategy, Operations and Quality Assurance. **Job Description** + ... of standard (and ad hoc) analyses to improve awareness and understanding of risk adjustment results and the quality , accuracy and identification of member… more
- Bristol Myers Squibb (Devens, MA)
- …your application should be directed to Chat with Ripley. R1596112 : Associate Director , Quality Risk Specialist **Company:** Bristol-Myers Squibb **Req ... critical to quality (CtQ) data, processes, and vendors, demonstrating effective risk and issue management. Provide quality and compliance consultation to… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement ... the subject matter expert in all functional areas in risk , data capture and quality improvement, coordinating...teams within Molina. + Possesses a strong knowledge in risk adjustment programs and processes, data acquisition… more
- Mount Sinai Health System (New York, NY)
- …CDQI, who will (1) be responsible for driving key population health goals including access, quality , utilization and accurate risk adjustment with a group of ... practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment...hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment … more
- Centene Corporation (Harrisburg, PA)
- …of healthcare related experience including quality improvement, HEDIS operations, and Risk Adjustment . Experience with quality rating systems, Medicare ... development and execution of best practices towards achieving market and product quality and risk goals + Serve as subject matter expert in measure development… more
- Bristol Myers Squibb (Princeton, NJ)
- …(GDO), the Director GTL is responsible for critical decision making, risk management, and fostering a culture of innovation and continuous improvement. Works ... forecasts, accruals, and cost optimization to ensure financial accuracy and efficiency. ** Risk & Quality Management:** + Advanced leadership competencies with… more
- CenterWell (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
- Bristol Myers Squibb (Princeton, NJ)
- …improvement. * Cultivate and sustain strategic partnerships with External Engagement, Quality Risk Management and Operations & Performance to identify, ... lives. Read more: careers.bms.com/working-with-us . **Position Summary** Reporting to the Director , Inspection Readiness, the Associate Director will help drive… more
- Point32Health (Canton, MA)
- …and will work in a matrix environment collaborating with functions including risk adjustment , population health, finance, operations, actuarial, and sales. **Job ... to enable high performing provider networks that support goals for membership growth, quality , and financial performance. The Director will foster and maintain… more
- CenterWell (Indianapolis, IN)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... putting seniors at the heart of everything we do. As an **Associate Medical Director (AMD) at CenterWell Senior Primary Care,** you will be an instrumental clinical… more
- Scripps Health (San Diego, CA)
- …of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment /HCC principles. * Strong technical proficiency and experience ... *This Senior Director position is eligible to participate in the...fee services. This role is responsible for advancing documentation quality , coding accuracy, and compliance to ensure the integrity… more
- CenterWell (Kansas City, KS)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining… more
- Ankura (VA)
- …processing and payment, provider contracts, market pricing, benefits administration, billing and coding, risk adjustment , etc. + Expand and build new products in ... in emerging healthcare topics driving the industry like predictive analytic applications, risk adjustment , and value-based care. + Develop, supervise, and… more
- Bristol Myers Squibb (Princeton, NJ)
- …personal lives. Read more: careers.bms.com/working-with-us . **Job Summary** The Associate Director Program Management (PM) will be assigned as a Program Manager ... via approved tools and standards. + Maintaining ePlan data quality at or above defined standards. + Maintain a...with a more senior PM) to help deliver end-to-end risk management processes. Develops and monitors risk … more
- RELX INC (Alpharetta, GA)
- …You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About the Role As the Senior Director of Marketplace and ... About the Business LexisNexis Risk Solutions is the essential partner in the...drive thought leadership through innovative market messaging. The Senior Director , Marketplace and Lead Solutions will also be responsible… more
- CenterWell (Columbia, SC)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining… more
- The Salvation Army (New York, NY)
- Overview The Executive Director provides overall leadership, management, and strategic oversight for The Salvation Army's 211-room Active Adult Living Facility ... needs in the name of Jesus Christ without discrimination. The Executive Director manages all aspects of marketing, occupancy, operations, and resident services. This… more
- CenterWell (Daytona Beach, FL)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining… more
- Bristol Myers Squibb (Manati, PR)
- …standards, as well as, compliance requirements. Delegation authority to represent Director during planned/unplanned events in the Manati Leadership Team. Member of ... team. + Liaison with above site Cybersecurity team to ensure implementation of risk mitigation activities for the Manati Site. Role needs to assure alignment with… more
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