- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The 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
- Elevance Health (Columbus, OH)
- ** Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** This position will work a hybrid model (remote and office). The ideal ... within 50 miles of our Elevance Health PulsePoint locations. The ** Director of Medicare Risk Adjustment Analytics and Reporting** is responsible for… more
- The 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
- Centene Corporation (Columbia, SC)
- …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
- Centene Corporation (NV)
- …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
- Centene Corporation (Yuma, AZ)
- …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
- Bristol Myers Squibb (Princeton, NJ)
- …risk -based decisions that get more medicines to more patients, faster. The Executive Director of Risk Assessments will be a key leader within our ... management, process design, and effective communication. The Executive Director of Risk Assessments will play a...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Santander US (New York, NY)
- Executive Director - IPV, Market Risk - Corporate & Investment Banking (CIB) New York, United States of America **Position Summary:** The Executive Director ... supporting the end-to-end Fair Valuation processes of the Market Risk area, ensuring that all US-owned risk ...and Close-out-Cost (CoC) metrics for Fair & Additional Valuation Adjustment (FVAs & AVAs) reports, based on IPV statistical… more
- Bristol Myers Squibb (Devens, MA)
- …or biotechnology industry + 4+ + years of experience in Quality Risk Management (QRM). within the pharmaceutical or biotechnology industry. + Experience in ... lead the stakeholder-oriented incorporation/improvement of QRM principles and appropriate risk -based approaches into the business processes of the Quality Management… more
- Bristol Myers Squibb (Princeton, NJ)
- …behavior. Our Compliance & Ethics team is committed to enabling well-informed, risk -based decisions that get more medicines to more patients, faster. You will ... Strategy for BMS and be a member of the Risk , Operations, and Intelligence Leadership team. If you want...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- International Rescue Committee (Baltimore, MD)
- Requisition ID: req51568 Job Title: Legal Services Director Sector: Legal Employment Category: Regular Employment Type: Full-Time Compensation: USD 110,000.00 - ... Arrangement:In-person Job Description JOB OVERVIEW: IRC seeks a Legal Services Director to provide vision, strategy, and leadership to immigration legal services… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . Position Summary : Reporting to the Senior Director , US and Above Market Medical and Market Access C&E Lead , ... a monitoring and education framework to mitigate healthcare compliance risk arising from patient support programs worldwide . In...their decisions. + Under the direction of the Senior Director , US and Above Market Medical and Market Access… 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
- RELX INC (Houston, TX)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... informed decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/government About the Team:… 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
- US Foods (Vista, CA)
- …CAREER SITE.** Join Our Community of Food People! BASIC PURPOSE As a Senior Director , Region Replenishment within US Foods, you will be pivotal in the strategic ... organization, and driving continuous improvement within the function. As a Senior Director , Region Replenishment, you are accountable for the region's service levels… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . Position Summary : The Senior Director , Compliance and Ethics Organization - Medical and Market Access Lead, ... will lead a team of compliance professionals - a Director , two Associate Directors and one Senior Manager...and externally as an expert in mitigating healthcare compliance risk through providing advice, drafting policy, providing education and… more
- Patent and Trademark Office (Alexandria, VA)
- …Trademark Office (USPTO) is seeking a highly motivated executive to serve as its next Director of the Office of Petitions ( Director ). As the Director , you ... mission to drive US innovation and global competitiveness. Responsibilities The Director of the Office of Petitions (OPET) provides strategic vision, guidance,… more
- Providence (Portland, OR)
- …budgeting, projecting provider risk sharing and alternative payment amounts, and estimating risk adjustment and risk transfer payment amounts. + Key ... Bids and Benefit Modifications + Medical and Pharmacy Trends + RAF ( Risk Adjustment ) Performance + Network Performance + Mentor managers and analyst and fosters… more
- Bristol Myers Squibb (Princeton, NJ)
- …ethical behavior. Our Compliance & Ethics team is committed to enabling well-informed, risk -based decisions that get more medicines to more patients, faster. As the ... Executive Director of Global Compliance Monitoring and Remediation, you will...ensuring proactive oversight, execution of compliance intentions, and effective risk mitigation on a global scale. Your responsibilities encompass… more
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