- Humana (Annapolis, MD)
- …understanding of how organization capabilities interrelate across the function or segment. The Risk Adjustment Director of Compliance ensures compliance with ... understanding of how organizational capabilities interrelate across the function or segment. The Risk Adjustment Director of Compliance will be a key… more
- CenterWell (Annapolis, MD)
- …+ Ability to travel up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions. + Proven track record of ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
- CareFirst (Baltimore, MD)
- …expertise, drives the company-wide Quality Management program (including CMS Stars and risk adjustment ), and the ongoing development and implementation of health ... a managed care setting. + Previous experience as medical director for a health care company. + At least...health plan/payor environment, with solid understanding of Stars and risk adjustment . + Prior experience with operations… more