- Elevance Health (Atlanta, GA)
- **Business Change Director - Risk Adjustment Data Quality ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must ... 50 miles of a PulsePoint location. The **Business Change Director for Risk Adjustment Data Quality ** will serve as a strategic partner for the Enterprise… more
- CenterWell (Tallahassee, FL)
- …caring community and help us put health first** The Associate Director , Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, ... Services (CMS), other payers, and over government agencies. In addition, the Associate Director , Risk Adjustment oversees all medical coding education… more
- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Sr. Director , Medicare Risk Adjustment (MRA) will lead the execution ... strategy and implementation of the organization's Risk Adjustment Programs to optimize the programs'...the Quality Program to implement tactics for risk adjustment optimization, particularly for provider and… more
- Health First (Rockledge, FL)
- …business objectives, CMS regulations and quality standards for Medicare Advantage Risk Adjustment . * Accountable for creating a culture of compliance with ... quality assurance programs for internal coding projects for Risk Adjustment Analysts. *Customer Experience: * *... Director to develop a comprehensive, long-term Medicare risk adjustment strategy. *Stewardship: * * Responsible… more
- Carle (Urbana, IL)
- …Manager, Director , and Medical Director to strategically plan and execute Risk Adjustment coding efforts for accuracy and risk mitigation, as well ... Risk Adjustment Education Specialist - HYBRID...adjustment initiatives, particularly related to coding accuracy and quality improvement. Serves as coding subject matter expert and… 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
- Providence (Beaverton, OR)
- …best people, we must empower them._** **Providence Health Plan is calling an** HCC Risk Adjustment QA Auditor: Medicare Advantage & ACA **who will:** + Perform ... audits of Hhierarchical Condition category (HCC) coding review for Risk Adjustment staff, contractors, and vendors +...projects + Partner with the coding team, Supervisors, and Director to improve the accuracy, integrity, and quality… more
- Molina Healthcare (UT)
- **JOB DESCRIPTION** **Job Summary** Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement ... the subject matter expert in all functional areas in risk , data capture and quality improvement, coordinating...teams within Molina. + Possesses a strong knowledge in risk adjustment programs and processes, data acquisition… more
- Elevance Health (Wilmington, DE)
- …must live within 50 miles of a PulsePoint location. The **Business Strategy Plan Director -Use Case Lead for Risk Adjustment ** is responsible for ... **Business Strategy Planning Director - Risk Adj. Use-Case Lead** **Location:** This...data (HealthOS) assets to drive downstream use cases for Risk Adjustment . This role will ensure that… more
- Molina Healthcare (Albuquerque, NM)
- …conjunction with Regional Quality Directors, local health plans and AVP, Risk Adjustment and Value- Based Strategy, identify providers for potential VBP/VBC, ... achievement of the financial strategy and business objectives. The Director will be working within a highly matrixed organization...annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs,… 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
- New York State Civil Service (Orangeburg, NY)
- NY HELP No Agency Mental Health, Office of Title Deputy Director , Psychiatric Center 1 - Quality Management, M-4, Rockland Children's Psychiatric Center, P25678 ... of Mental Health (OMH) facility, is recruiting a Deputy Director , Psychiatric Center 1 - Quality Management...is responsible for:* Supervising all departments assigned to the Quality Management Program - program evaluation, risk … 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
- Citigroup (New York, NY)
- …and results. This is a leadership role within the CSCO Controllers Adjustment Reduction, EUC and Data Initiatives organization responsible for managing a global ... team that drives data ownership, system ownership, data quality rules and data lineage maintenance, and adherence to data policies and standards for… 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
- Bristol Myers Squibb (Devens, MA)
- …also serve as the Subject Matter Expert SME for the annual supplier Risk Assessment. The incumbent is involved in developing, modifying, and executing company ... the Subject Matter Expert (SME) for the annual supplier Risk Assessment. + Author and maintain external audit schedule...schedule for the Devens Site. Ensure that suppliers have quality and production systems that meet applicable regulatory, cGMP… more
- Bristol Myers Squibb (Cambridge, MA)
- …more teams including definition of the operational strategy, management of timelines, budget, risk assessment and mitigation. The Director PM works to ensure ... Summary** The KarXT R&D team is looking for a Director Project Manager (PM) to lead indication focused Sub-GPTs...of the program operational strategy, management of timelines, budget, quality , and risk assessment and mitigation. +… more
- Molina Healthcare (NE)
- …healthcare experience with proven relationship management responsibilities * Proven experience in risk adjustment , quality , and provider engagement. * ... or related field. **PREFERRED EXPERIENCE:** 10+ years managed care experience specifically within Risk Adjustment and/or Quality To all current Molina… 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
- Bristol Myers Squibb (Seattle, WA)
- …for and management of global regulatory inspections as required and using principles of Quality Risk Management. Assist in the review of written responses to ... **Position Summary:** This position reports directly to the Senior Director , Cell Therapy Compliance and is responsible for working...to make and act on decisions while balancing speed, quality and risk . + Ability to think… more
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