- 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 ... Mount Sinai Health System is seeking a Senior Medical Director of Quality and Patient Engagement. The Senior Medical...drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially… more
- Basin Electric Power Cooperative (Bismarck, ND)
- Job Title: DIRECTOR /MANAGER, RISK & INSURANCE (DOE) Posting Start Date: 10/3/25 Job Description: **POSITION PURPOSE** This position is open to varying levels of ... risk of loss, planning, managing, and coordinating risk regarding the property, Director and Officer...SKILLS** + Knowledge of property and casualty insurance, claims adjustment , and risk analysis. + Proficient with… more
- Sanitas Medical Center (Fort Lauderdale, FL)
- …and physician assistants. Ensure completion of HEDIS and quality metrics, appropriate risk adjustment coding , and care coordination. Oversee performance ... Medical Director - Plantation, Florida Sanitas Medical Center |...our continued growth, we are seeking a dynamic Medical Director to lead our clinical operations in Plantation, Florida… more
- Florida Atlantic University (Boca Raton, FL)
- …account. Position Summary: Florida Atlantic University is seeking an Associate Director of Physical Plant - Boca Raton, FL. Responsibilities: Operational and ... as acting lead in the absence of the Senior Director , when assigned. + Serve as Essential Personnel. Design,...the Facilities Budget Office in the development, monitoring, and adjustment of the operational budget, expenditures and billing rates,… more
- Allegis Global Solutions (Hanover, MD)
- …searching #LifeAtAGS on any social network. Job Description Job Summary: The Director is responsible for AGS's invoicing design function, the oversight and delivery ... Allegis Pay technology and supplier payment integration functions. The Director partners across AGS teams and serves as FBS's...MSP and RPO customers and program teams + Appropriate risk management skills + Strong knowledge of the staffing… more
- Progress Rail Services Corp. (Taylor Mill, KY)
- …purchasing and warehouse professionals at the plant. The manager will report to the Director of Supply Chain and have a dotted line reporting relationship with the ... - Identify and qualify new suppliers to mitigate supply risk and ensure supply chain flexibility; - Review and...Plans + Site specific Step and Skill Level Wage Adjustment Plans + Site Specific Relocation and Sign-on Bonus… more
- Emanate Health (Covina, CA)
- …MSO personnel on HCC and STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0 and achieves or improves upon ... 4.0 STAR rating. The coding specialist is responsible for education to external physician offices and works closely with physicians and billers to ensure the appropriate ICD10 and CPT codes submitted for Medicare and Covered CA lines of business. Coding… more
- 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
- Molina Healthcare (MI)
- …Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight ... of all chart collection for Risk Adjustment , RADV, or Risk Adjustment -like projects, and other state specific audit projects and deliverables related to… more
- Avera (Sioux Falls, SD)
- …and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director of Quality and ... Risk Services, Manager of Risk Adjustment , Manager of Quality, Quality Coordinator - HEDIS, coder(s), claims staff, and primary care & specialty care… 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
- Catholic Health Initiatives (Little Rock, AR)
- …for the value hub. + Through Risk Management/Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas and Kentucky CIN. + ... CIN/Population Health Management experience required + Must have experience with risk adjustment coding and value based reimbursement models of payment +… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …team responsible for maintaining, executing, and evaluating initiative impacts using the risk adjustment and quality analytics models across ACA Commercial, ... of data submissions for ACA Commercial, Medicare, and Medicaid risk adjustment and quality programs. * Design...Education Required Required Skills and Experience * Accepting this director level position at BCBSMN requires signing an Employee… more
- MyFlorida (Tallahassee, FL)
- DIRECTOR - GAMES ADMINISTRATION - 36000865 Date: Dec 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 866609 Agency: Department of Lottery Working Title: DIRECTOR - GAMES ADMINISTRATION - 36000865 Pay Plan: Lottery Executive M… 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
- ChenMed (Miami, FL)
- …processes + Comprehensive knowledge of Medicare program including but not limited to Risk Adjustment processes and Fee For Service. + Knowledge of applicable ... need great people to join our team. The Associate Director , Revenue Cycle Management (RCM) Optimization manages and organizes...incumbent also serves as a subject matter expert on risk - adjustment and medical economics to aid in… more
- Point32Health (NH)
- …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)
- …(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
Related Job Searches:
Adjustment,
Associate Director Risk Adjustment,
Director,
Director Quality Risk Adjustment,
Director Risk,
Director Risk Adjustment Coding,
Director Risk Adjustment Hybrid,
Risk,
Risk Adjustment,
Senior Director Risk Adjustment