- Intermountain Health (Fort Collins, CO)
- **Job Description:** The Risk Adjustment Strategic Partner works as a liaison between the provider community and Select Health. This is a niche market ... Travel will be required for in-person meetings with provider organizations. The Risk Adjustment Strategic Partner will ensure providers understand… more
- Somatus (Mclean, VA)
- …organization. + Partner with Finance and Analytics team to establish risk adjustment analytics such as predictive modeling for coding improvement ... and manage the compliance and performance of vendors or third-party administrators performing risk adjustment activities. + Partner with appropriate teams to… more
- Martin's Point Health Care (Portland, ME)
- …operational departments related to revenue optimization + Participates in the development of risk adjustment operational and strategic planning processes + ... to Work" since 2015. Position Summary **NEW REMOTE POSITION** The Senior Risk Adjustment Analyst analyzes data, reviews findings, and develops recommendations… more
- Highmark Health (Pittsburgh, PA)
- …practices and processes to ensure efficacy and accuracy of risk adjustment programs. Identifies and recommends both strategic and tactical improvements to ... initiatives and identifying improvement opportunities. Functions as the primary advisor of strategic direction on risk adjustment and collaborates and… more
- Bristol Myers Squibb (Princeton, NJ)
- …compliance matters to senior leadership and business units. + Develop and maintain risk assessment models, inputs, and requirements. + Partner with risk ... all risk domains, including financial, operational, compliance, reputational, and strategic risks. + Inform and maintain third-party risk management… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …and data driven approach. + Drives ongoing quality risks assessment and evaluation of strategic and operational risk in RDQ in collaboration with R&D Quality GxP ... in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Director, Risk Based Quality Management leader will work closely with the R&D… more
- Conviva (Tallahassee, FL)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...identify process enhancements and streamline workflows as needed. + Strategic partner with offshore coding team and… more
- Conviva (Tallahassee, FL)
- …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
- Humana (Frankfort, KY)
- …a $75B business! In this role, you will support the value story for Humana's risk adjustment and Stars activities overall, as well as end-to-end evaluation and ... Medicaid regulations and payment models, monitors and reports on risk adjustment data submissions, and supports HQRI...on customer service and commitment to achieving goals + Partner with operations leaders to develop financial analytics that… more
- RELX INC (Franklin, TN)
- …eCommerce experience in executing strategic marketing programs? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of ... Risk Solutions - Government Marketing Director is the ' Strategic Vertical Marketing Lead' responsible for initiating and driving...metrics. + Have the ability to serve as a strategic partner to business stakeholders by advising… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- RELX INC (Houston, TX)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist ... and strategic narratives to elevate the visibility of LexisNexis Risk Solutions Identity Solutions. + Driving revenue through proactive business development… more
- RELX INC (Sacramento, CA)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- University of Maryland, Baltimore (Baltimore, MD)
- …condition and serve the public good. The individual in this position will partner with academic and administrative units across the University as well as government, ... be accountable to, and supported by, the Director of Strategic Initiatives and Community Partnerships in the Office of...* ** *Primary Duties - Social Worker:* * Assess risk by screening and interviewing clients. Identify and construct… more
- Bristol Myers Squibb (Princeton, NJ)
- …effectiveness. Major Responsibilities and Accountabilities: + **Develop and Oversee the Strategic Sourcing & Procurement Partner -to-Pay Digital & Analytics ... work and in their personal lives. Read more: careers.bms.com/working-with-us . The Strategic Sourcing & Procurement Executive Director, Digital Strategy & GPO is… more
- RELX INC (Annapolis, MD)
- Director of Data Content and Strategy About the business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Healthcare ... decisions and solve complex challenges. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/healthcare About the team: The… more
- RELX INC (Cambridge, MA)
- …increase the employee base. + Drive and maintain the relationship with a large strategic partner . + Experience as a LOB revenue owner. + Develop and ... and General Manager of LexisNexis Blue Sky Regulatory Services About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- RELX INC (Boca Raton, FL)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- RELX INC (Boca Raton, FL)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more