- UCLA Health (Los Angeles, CA)
- …all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is ... and the manager of coding and education. The Assistant Director of Risk Adjustment will...to staff and leadership + Knowledge of STARS and quality measures, preferred + CPC, CRC, and project management… more
- CVS Health (Columbus, OH)
- …Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment , the Market Manager will work ... excellence. This position will require a comprehensive understanding of risk adjustment , with the ability to speak...quality assurance) across revenue integrity processes related to risk adjustment (RA) focused on complete and… 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
- Centene Corporation (Tallahassee, FL)
- …medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation...in conjunction with other departments to include Provider Relations, Quality as well as the Medical Director … more
- HonorHealth (Scottsdale, AZ)
- …well-being of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Quality & Risk Director will lead and direct the ... including Medicare, Medicare Advantage, commercial, and other payers. The Quality & Risk Director will... strategy for solutions and operational activities to improve Risk Adjustment Factor (RAF) scores and associated… more
- Healthfirst (NY)
- …for quantitative analysis + Minimum ten (10) years' experience in a combination of quality , provider engagement and/ risk adjustment , with at least 3 years ... + Assume leadership role in the delivery and execution of the risk adjustment program by driving value through data driven decisions in a regulatory… more
- Bristol Myers Squibb (Princeton, NJ)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Senior Director of Risk Diligence and Oversight will play a critical ... leadership role in managing and overseeing third party risk for Bristol Myers Squibb. This position focuses on...to detail and commitment to maintaining high standards of quality and accuracy. + Demonstrated ability to think strategically… more
- Evolent (Columbus, OH)
- …Medicare and Commercial contracts, including plans related to medical expense management, quality improvement, appropriate risk adjustment , and patient and ... You'll Be Doing:** Evolent is looking for a Managing Director of Value-Based Operations to join our Primary Care...and Network teams. Additionally, the MD will oversee ECP's Risk Adjustment program, with responsibility for developing… 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
- Bristol Myers Squibb (Devens, MA)
- …Read more: careers.bms.com/working-with-us . **PURPOSE AND SCOPE OF POSITION:** The Associate Director , CTF Digital Plant IT Quality at Devens Cell Therapy ... within a regulated environment. + Proven experience in designing and implementing quality systems, risk management systems, audit readiness programs, deviation… more
- Bristol Myers Squibb (Summit, NJ)
- …reviewing investigations, interpreting results, and generating technical conclusions consistent with Quality risk management principles + Must be able to ... at BMS with our Cell Therapy team. The Associate Director , Drug Product External Manufacturing QA provides Quality...be assigned **Knowledge & Skills:** + Expertise in GMP, Quality , and risk management + Ability to… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …on real-world evidence, and creating hope for all facing illness. The Associate Director , Quality Management System will be responsible for supporting and ... contributing to the design, development, administration, and maintenance of the Quality Management System. This position will ensure systems and processes are robust… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …monitoring the execution of the Drug Development Project Goals on timeline, budget, scope, risk identification and analysis and quality and will manage a project ... and creating hope for all facing illness. The Associate Director , Project Management is an integral member of the...all operational aspects of the project. + Generates high quality integrated development, risk management and communication… more
- Community Health Network (IN)
- Director Population Health Ops IHCI Job Ref 2500581...care operational experience with a focus on patient access, quality of care, and risk adjustment ... couldn't do it without you. **Make a Difference** The Director of Population Health Operations will provide leadership for...execution, and communication of key strategic initiatives such as quality , cost, risk adjustment , and… more
- Library of Congress (Washington, DC)
- …recommending specific policies and procedures for improving the Service's overall quality , efficiency, and effectiveness. The Deputy Assistant Director serves ... a senior manager to serve as the Deputy Assistant Director for its Knowledge Services Group. Responsibilities This position...staff, and ensures that it is of the highest quality and consistently meets the Service's standards of objectivity,… more
- Tucson Electric Power (Tucson, AZ)
- ** Director , Wholesale Marketing** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **5672** **About Us** UNS Energy Corporation ... 700,000 customers in Arizona. We embrace a spirit of giving, dedicated to improving quality of life in the communities we have served for generations, and in TEP's… more
- Astronics (Orlando, FL)
- Director of Accounting (ATS Orlando) Astronics Subsidiary Astronics Test Systems Location Orlando, Florida Description **Position Summary:** Astronics Test Systems ... is looking for a highly motivated candidate for a Director of Accounting role. The position will report to...of accounting staff. Assure resources are deployed to provide quality and on-time reporting. + Responsible for legal compliance… 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 ... open to change, go ahead and unlock your potential. Join Scripps asSenior Director , Revenue Cycle where you will have primary accountability for the oversight of… more
- Aston Carter (Midland, MI)
- Job Title: Director of Finance Job Description The Director of Finance is a strategic, hands-on manager who leads and develops an internal team to support the ... include complex data analysis and reporting, forecast modeling, budgeting, risk management, development of financial policies and strategy, disbursement of… more
- Molina Healthcare (Columbus, OH)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, NCQA… more
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