- Point32Health (Canton, MA)
- …with our corporate and business division goals. This position will report to the Director of Risk Adjustment Strategy, Operations and Quality Assurance. ... Point32Health (https://www.point32health.org/) . **Job Summary** This position will lead the Risk Adjustment Operations & Provider Consulting team responsible… more
- 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
- 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 ... hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially our patients covered… more
- Datavant (Topeka, KS)
- …strategies. The ideal candidate will have a deep understanding of value-based care, risk adjustment , and the healthcare provider ecosystem ( risk -bearing ... **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to...as a trusted advisor, demonstrating a strong understanding of risk adjustment , HCC coding, and value-based care… more
- Bristol Myers Squibb (Devens, MA)
- …application should be directed to Chat with Ripley. R1596112 : Associate Director , Quality Risk Specialist **Company:** Bristol-Myers Squibb **Req Number:** ... their personal lives. Read more: careers.bms.com/working-with-us . Job Description The Associate Director , RBQM - HOCT, ICN will mainly be responsible for developing… more
- Bristol Myers Squibb (Madison, NJ)
- …should be directed to Chat with Ripley. R1596641 : Associate Director , Structured Benefit- Risk Assessment Lead **Company:** Bristol-Myers Squibb **Req ... lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Structured Benefit- Risk Assessment (SBRA) Lead will report into the Structured Benefit-… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement direction ... engagement teams within Molina. + Possesses a strong knowledge in risk adjustment programs and processes, data acquisition processes, HEDIS and quality… more
- Wolters Kluwer (Philadelphia, PA)
- …content-including value sets and clinical decision support (CDS) rules-to enable risk adjustment suspect identification, recapture workflows, and prior ... **Health Informatics Director - Physician** As the Health Informatics ...maintain clinical terminology assets (value sets, mappings, hierarchies) for risk adjustment workflows. + Develop CDS and… 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)
- …(GDO), the Director GTL is responsible for critical decision making, risk management, and fostering a culture of innovation and continuous improvement. Works ... their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Director , Global Trial Lead (GTL) is accountable for the strategic… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** Reporting to the Director , Inspection Readiness, the Associate Director will help drive ... extensively with teams and leaders across the BMS network. The Associate Director will support BMS' GMP/GDP Inspection Readiness strategy by supporting on-site and… 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 ... we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development,… 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 ... with a more senior PM) to help deliver end-to-end risk management processes. Develops and monitors risk ...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… 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
- AIG (Atlanta, GA)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as a Complex Claims Director - Aviation to play your part in that transformation. ... position requires the adjustment of complex aircraft damage claims. The Complex Director will function as a key account contact for multiple programs across all… more
- Bristol Myers Squibb (Madison, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Associate Director Commercial Regulatory Affairs** **Description** : The role of Associate ... Director of US Commercial Regulatory Affairs requires the ability...to apply complex scientific and expert regulatory advice and risk assessment for the development of promotional campaigns and… 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 Director Incentive Plan.* *This position is in La Jolla and requires residence in San Diego… more
- Bristol Myers Squibb (Devens, MA)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary:** The Director , Industrial Hygiene is a key member of the BMS Safety Center ... Physical Hazards (Noise, Radiation, etc.), Ergonomics and Biosafety. Reporting to the Executive Director , GPS EHS and S-COE, the Director of Industrial Hygiene… 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 (Indianapolis, IN)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... heart of everything we do. As an **Associate Medical Director (AMD) at CenterWell Senior Primary Care,** you will...coaching initiatives are precise + Identify critical issues for high- risk patients during case reviews & other forums, and… more
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