- Elevance Health (Woburn, MA)
- ** Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** Alternate locations may be considered. This position will work a hybrid ... of our Elevance Health PulsePoint locations. The ** Director of Medicare Risk Adjustment Analytics and Reporting** is responsible for planning, directing… more
- Evolent (Boston, MA)
- …including plans related to medical expense management, quality improvement, appropriate risk adjustment , and patient and provider engagement. Members of ... Medicare in the Shared Savings Program. The Managing Director will report to the SVP Primary Care /...and Network teams. Additionally, the MD will oversee ECP's Risk Adjustment program, with responsibility for developing… more
- Molina Healthcare (Cambridge, MA)
- …etc.), set annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, develop and produce reports for Regional Directors and ... and must live in Massachusetts _** **Job Description** **Job Summary** The Director , LTSS Partnerships plays a critical role in the development and implementation… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Maintain current industry knowledge of highly impactful external audits such as Risk Adjustment Data Validation Audit, CMS Program Audit protocols, common ... Risk Assessment. + Make recommendations towards enhancements to the Continuous Compliance Risk Assessment process. + Alert Director of Internal Audit of… more
- Commonwealth Care Alliance (Boston, MA)
- …and/or maintain current industry knowledge of highly impactful external audits such as Risk Adjustment Data Validation Audit, CMS Program Audit protocols, common ... 012100 CCA-Internal Audit **Position Summary:** Under direction of the Director of Internal Audit, the primary functions of this position are to: + Contribute… more