- Highmark Health (Boston, MA)
- …may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... + **Lead and manage a team of interoperability and risk adjustment SMEs:** Provide guidance, mentorship, and...- 5 years Leadership + 3 - 5 years Risk Revenue + 1 - 3 years Strategic… more
- RELX INC (Cambridge, MA)
- Vice President and General Manager of LexisNexis Blue Sky Regulatory Services About the Business LexisNexis Risk Solutions is the essential partner in the ... assessment of risk . Within our Business Services vertical, we offer a...a highly skilled and experienced Vice President and General Manager for our Blue Sky Regulatory Services (BSRS) business… more
- Mitsubishi Chemical Group (Boston, MA)
- …(MDM), are integrated into regional business processes to support the organization's strategic goals. The Digital Data Governance Program Manager will work ... **Data Governance Program Manager (1784)** + Title:Data Governance Program Manager...governance initiatives, ensuring that data is managed as a strategic asset across the region. This role provides a… more
- Highmark Health (Boston, MA)
- …+ 2-3 years experience in Healthcare industry + 1-2 years experience in risk adjustment **LICENSES/CERTIFICATIONS** **Required** + None **Preferred** + PMP or ... time and budget and under circumstances involving multiple moderate-probability, moderate-impact risk factors. Manages a matrix group of employees and contractors… more
- Point32Health (Canton, MA)
- …health care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment . + Knowledge of Medicare and Medicaid reimbursement is ... and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives… more
- CVS Health (Boston, MA)
- …Informatics Developer within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical ... consultants, team members and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. + Responsible for leading the… more
- Bristol Myers Squibb (Cambridge, MA)
- …**Position Summary** Partners with the Global Program Lead (GPL) and Global Project Manager (GPM) to co-lead the strategic and operational planning and ... able to successfully deliver their program(s) milestones and goals. As the strategic partner and operational lead for development and lifecycle management programs,… more
- The Cigna Group (Newton, MA)
- …strategy, performing research and analysis within the Clinical, STARS, and Risk Adjustment Analytics team. Reporting to the Senior Manager of Clinical & ... to make recommendations based on relevant findings. The Clinical, STARS, and Risk Adjustment Analytics team seeks to provide operational and analytical… more
- Bristol Myers Squibb (Cambridge, MA)
- …develop, motivate and achieve results through teams, and is the direct manager to Clinical Trial Physicians (CTPs) **Position Responsibilities** + Accountable for ... + Serves as Primary Clinical Representative in Regulatory interactions + Evaluates strategic options against a given Target Product Profile (TPP) + Collaborates with… more
- Boston Public Schools (Boston, MA)
- …sustaining district and addressing the Achievement Gap through the Superintendent's strategic plan. Social workers are uniquely qualified to contribute to their ... wide Crisis Team as needed. This includes supporting Suicide Risk Assessments and Threat Assessments (with the school crisis...follow-up services for each student, serving as a case manager As needed/ if applicable, serve as a member… more