- Humana (Columbus, OH)
- …understanding of how organization capabilities interrelate across the function or segment. The Risk Adjustment Director of Compliance ensures compliance with ... more
- Centene Corporation (Springfield, IL)
- …competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Director , Risk Adjustment is a key strategic leader ... 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 ... more
- Bristol Myers Squibb (Summit, NJ)
- …deviations with project/products, to Health Authorities and RGO . + Translate risk factors into Clinical Quality Assurance oversight plans, including internal ... 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 ... more
- Actalent (North Billerica, MA)
- …Associate Director of Supplier QualityJob Description Lead supplier quality management and manage the existing supplier lifecycle management program. Oversee ... more
- UPMC (Pittsburgh, PA)
- …ensuring accurate representations of patient acuity, severity of illness, medical necessity, and risk adjustment . + Possess and apply foundational knowledge of ... more
- Actalent (North Billerica, MA)
- …Document control + Quality systems + Customer complaints + Regulatory + Risk management + Reporting Additional Skills & Qualifications + Bachelor's degree in a ... 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 ... 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 ... more
- ZoomCare (Portland, OR)
- …initiatives. + Strong understanding of healthcare systems, value-based care models, and risk adjustment . + Proven track record of driving change, improving ... 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 ... 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 ... 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 ... 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 ... 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 ... more
- Community Health Systems (Franklin, TN)
- … reporting and data analytics platforms. + Knowledge of healthcare coding, risk adjustment , and documentation best practices. **Licenses and Certifications** + ... more
- Bristol Myers Squibb (Madison, NJ)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . ** Director , WW Medical Oncology, Medical Communications** Position reports to the ... more
- Molina Healthcare (Columbus, OH)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... more
- Actalent (Bethesda, MD)
- …improvement solutions, including corrective and preventive (CAPA) actions. + Perform risk -based quality content reviews and monitor internal/external KPIs. + ... more
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