- Elevance Health (Norfolk, VA)
- **Business Change Director - Risk Adjustment Data Quality** **Alternate locations may be considered:** This position will work in a hybrid model (remote and ... of our Elevance Health PulsePoint locations. The **Business Change Director for Risk Adjustment Data...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- 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...throughout Southern California. We're also home to the world-class medical research and clinical education capabilities of the David… 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...our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll… 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
- RELX INC (Atlanta, GA)
- …and use cases - from credit assessment, to verification, to fraud assessment. The Sr. Director of Strategy for Business Risk Management will serve as the general ... About the business LexisNexis Risk Solutions is the essential partner in the...to offer: * Health Benefits: Comprehensive, multi-carrier program for medical , dental and vision benefits * Retirement Benefits: 401(k)… more
- Mount Sinai Health System (New York, NY)
- …(2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system. This Medical Director must be effective at ... improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI,...population health goals including access, quality, utilization and accurate risk adjustment with a group of practices… more
- Molina Healthcare (Las Cruces, NM)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare,… more
- Molina Healthcare (San Bernardino, CA)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare,… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …respected - is a research-driven pharmaceutical company that has tirelessly pursued medical breakthroughs with global reach. MTPC has discovered and produced several ... treatments for difficult-to-treat diseases and commercializing products with significant unmet medical needs in North American markets. In the United States, MTPA… more
- Bristol Myers Squibb (Madison, NJ)
- …. **Position Summary** Independently and proactively leads matrixed cross-functional medical project management teams within the Worldwide Medical ... Organization. **Details** This role reports directly into the Senior Director of Strategy and Operations and will be a...strategic and operational portfolio partner to the WWMA CT medical leads in delivering on key portfolio related priorities.… more
- Molina Healthcare (Columbus, OH)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program… more
- Citigroup (New York, NY)
- …exchanges), credit risk analytics and risk management practice; Credit Value Adjustment risk measuring and risk management; Trading floor market and ... Bank's on-demand queries. Analyze and report business intelligence for Credit Value Adjustment portfolios from perspectives of business, risk , profitability, and… more
- Actalent (North Billerica, MA)
- Sr Director of Quality AssuranceMUST HAVE + Director or Sr Director Experience + Requires a BS/BA degree in a scientific discipline + Minimum of 10+ years of ... experience in Quality Assurance in the Pharmaceutical, Biotech, and/or Medical Device industry + Radiopharmaceutical experience a plus + Proficiency and knowledge of… more
- Bristol Myers Squibb (Princeton, NJ)
- …single case and aggregate safety monitoring, safety reporting, contribution to benefit- risk assessment, risk management planning and strategy, and execution ... with global regulatory requirements. **Position Summary / Objective** The Head of Medical Safety Review provides leadership and direction for a department of up… more
- Bristol Myers Squibb (Princeton, NJ)
- …single case and aggregate safety monitoring, safety reporting, contribution to benefit- risk assessment, risk management planning and strategy, and execution ... requirements. **Position Summary / Objective** The TA Head - Medical Safety Review provides leadership for Medical ...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Ankura (Chicago, IL)
- …decision-making protocols + Knowledge of regulatory and industry guidance related to medical necessity, utilization management, risk adjustment and clinical ... operational, clinical, legal, and regulatory matters. Our clients include academic medical centers, health systems, physician practice groups, post- and sub-acute… more
- RELX INC (Atlanta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… 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
- Actalent (Basking Ridge, NJ)
- Job Title: Director , Clinical SafetyJob Description The Director , Clinical Safety will be responsible for leading overall product safety strategy, safety ... surveillance, and risk management. This role involves providing safety leadership across...studies, post-marketing surveillance, signal detection, and regulatory submissions. The Director will ensure proactive safety monitoring through the Safety… more
- Compass Group, North America (New York, NY)
- Restaurant Associates Position Title: Regional Director of Culinary Programs & Development Reports To: Sr. Director of Culinary Salary: $125,000-$150,000 Other ... instructions to refer a friend to this position. Job Summary The Regional Director of Culinary Development brings a high level of culinary expertise and passion… more
Related Job Searches:
Adjustment,
Director,
Director Risk Adjustment,
Medical,
Medical Director,
Risk,
Risk Adjustment,
Risk Director