- Centene Corporation (Springfield, IL)
- …competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Director , Risk Adjustment is a key strategic leader ... responsible for driving the Risk Adjustment for various lines of business...least two years of experience with Risk Adjustment . + Experience at a Manager or Director… more
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** ... 5:00 pm (United States of America) **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment Services is a key leader for commercial… more
- Humana (Columbus, OH)
- …understanding of how organization capabilities interrelate across the function or segment. The Risk Adjustment Director of Compliance ensures compliance with ... of how organizational capabilities interrelate across the function or segment. The Risk Adjustment Director of Compliance will be a key member of… 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
- CareOregon (Portland, OR)
- …# 24856 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Director Risk Adjustment Department Finance Pay and Benefits Estimated ... through AHIMA or AAPC + For Finance Department only: Current Certified Risk Adjustment Coder (CRC) or completion within one year of hire Preferred +… more
- Point32Health (Canton, MA)
- …individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD), including submissions to CMS and state ... timely resolution of production issues pertaining to state government and risk adjustment data submissions, including issue investigation, business requirements,… more
- BMO Financial Group (Chicago, IL)
- …and advisory services to clients around the world. #bmocapitalmarkets **Job Summary:** The Director - Portfolio Control Manager - Risk ID & Appetite role ... Monitor actual risk exposures with the established risk appetite and provide recommendations for adjustment ...established risk appetite and provide recommendations for adjustment when necessary. ** Risk Reporting and Analysis:**… more
- Bristol Myers Squibb (Princeton, NJ)
- …personal lives. Read more: careers.bms.com/working-with-us . Position Summary The Associate Director , RBQM - HOCT, ICN will mainly be responsible for developing ... critical to quality (CtQ) data, processes, and vendors, demonstrating effective risk and issue management. Provide quality and compliance consultation to clinical… more
- Commonwealth of Pennsylvania (PA)
- …experimental designs or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment, and prevention of mental ... Licensed Psychologist Director - North Central Secure Treatment Unit Print...or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment, and prevention… 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)
- …Squibb (BMS) is seeking an exceptional leader for the position of Executive Director , Clinical Development Procurement (CDP). This role is a unique opportunity to ... supply chain through productivity initiatives and strong partnerships. As the Executive Director , CDP, you will be responsible for the development and implementation… more
- Bristol Myers Squibb (San Diego, CA)
- …RayzeBio aims to be the global leader in radiopharmaceuticals. The **Executive Director , Head of Pharmacovigilance - Safety Science** , is responsible for overseeing ... of safety science to protect patient health and optimize product benefit- risk profiles. The ED works cross-functionally with clinical, regulatory, medical affairs,… more
- WelbeHealth (Los Angeles, CA)
- …and financial analysis. This role will focus on overseeing capitation rates, risk adjustment methodologies, claims forecasting, and Incurred But Not Reported ... Python, R), Excel, and financial modeling tools + Deep understanding of CMS risk adjustment , Medicaid rate-setting, and Medicare Advantage/Part D payment models… 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
- CenterWell (Columbus, OH)
- …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical Documentation… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Associate Director , Therapeutic Area Audit Strategy Lead will be mainly responsible ... specifically developing and contribution the audit/inspection portion . + Apply a risk -based approach to audit planning and execution. + Participate in audits and… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …from a New England state (ME, VT, NH, MA, CT, RI).** Reporting to the Director of Grants and Contracts, the Assistant Director of Post-Award (AD Post-Award) is ... the G&C leadership team, the AD Post-Award will work closely with the Assistant Director (AD) of Pre-Award and AD of Agreements to ensure efficient and effective… more
- RELX INC (Alpharetta, GA)
- …Management career? Are you ready for a leading role? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within ... and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk...the Role We are seeking a dynamic and experienced Director of Customer Experience, Product Management to join our… more
- ZoomCare (Portland, OR)
- …initiatives. + Strong understanding of healthcare systems, value-based care models, and risk adjustment . + Proven track record of driving change, improving ... fast-moving team of superstars! ZoomCare is seeking a **Medical Director of Primary Care** to join our team! The...support clinical teams on proper coding techniques to optimize risk - adjustment and reimbursement. + Analyze coding trends… more
- Scripps Health (San Diego, CA)
- …Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. . Directs instructions and education ... *This Director position is eligible to participate in the Director Incentive Plan.* *Position is located in La Jolla and does require residence in San Diego* At… more
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