- Northeast Georgia Health System, Inc (Gainesville, GA)
- …staff to enhance understanding of clinical documentation improvement goals to achieve risk adjustment strategic goals and objectivesCoordinate and deliver ... collaborative efforts to design and create content-specific internal and external risk adjustment training curriculum and programsShall set priorities for… more
- Humana (Columbus, OH)
- …community and help us put health first** As a Program Delivery Lead specializing in Risk Adjustment Strategic Partnerships, you will lead the development and ... external partners (eg, Kidney Team, Group Medicare). + Support HQRI strategic engagements, representing risk adjustment across new member initiatives and PPO… more
- BlueCross BlueShield of North Carolina (NC)
- …evaluate and lead the implementation of Risk Adjustment strategic initiatives, provider reimbursement and partnership strategies to meet BCBSNC's growth ... of degree, 10+ years of experience in related field **Nice to Have** * Prior Risk Adjustment Operational/Analytical experience * Knowledge of MA and ACA Risk … more
- Martin's Point Health Care (Portland, ME)
- …+ Sets the vision and strategic plan for prospective programs to drive risk adjustment and quality value. + Facilitates network provider partnerships for ... risk adjustment managers/directors; creates and delivers on provider ...monitors department adherence to policies and procedures. + Provides strategic insight and oversight of key regulations and guidance,… more
- CenterWell (Carson City, NV)
- …our caring community and help us put health first** The Associate Director, Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, ... other payers, and over government agencies. In addition, the Associate Director, Risk Adjustment oversees all medical coding education activities. The Associate… 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
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** Senior Director, Risk Management and Central Monitoring Position is a critical member ... of the Clinical Oversight and Risk Management Leadership Team and accountable to develop and...of clinical trials through monitoring and data oversight. Key strategic and tactical activities include the execution of the… more
- Bristol Myers Squibb (Princeton, NJ)
- …needs of the business. + Actively and proactively manage the risks and develop risk mitigation plans for risks identified in partnership with the business unit. ... with key business leaders and lead our BMS Cell Therapy Direct Materials strategic sourcing team to ensure BMS Cell Therapy direct materials supply base meets… more
- Healthfirst (NY)
- …across lines of businesses, such as finance, clinical, medical economics, operations, risk adjustment , and population health strategy to implement Medicare ... related to one or more specific Medicare performance areas such as Risk Score Accuracy, Medicare Clinical Programming and Operations, Provider Performance, Medical… more
- CenterWell (Jackson, MS)
- …of how organization capabilities interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, ... (including GenAI) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with… more
- Conviva (Tallahassee, FL)
- …fosters collaboration across entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
- WellSense (Boston, MA)
- …and site of care optimization, to name a few), quality program performance, risk adjustment , and health equity. In designing and implementing strategy and ... of the Finance team at WellSense and in close partnership with the Population Health Services team at BMCHS,...ACO partners and state agencies, incorporating latest market and risk adjustment simulations available from the state.… more
- University of Maryland, Baltimore (Baltimore, MD)
- …with the School of Social Work, the School of Nursing, and the Southwest Partnership . The Case Manager works under the supervision of a Social Worker (LCSW-C) and ... 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
- BP Americas, Inc. (Houston, TX)
- …our analytics transformation, re-imaging legacy business critical Excel models on our strategic data science platform Dataiku. We are Python experts and combine deep ... methods, statistics, numerical algorithms or commercial skills. Working in a close partnership with the analysts and strategists across regions and commodity lines,… more
- Bristol Myers Squibb (Tampa, FL)
- …activities and represent Procurement both internally and externally in partnership with leadership. ** Strategic Planning** + Collaborate with ... and initiatives, including integrations and divestitures. This role involves strategic planning, governance, and oversight of all procurement-related projects,… more
- Bristol Myers Squibb (Cambridge, MA)
- …data, including eligibility review + Holds responsibility for site interactions in partnership with the Clinical Scientist (CS) for medical questions and education ... Holds responsibility for assessment of key safety-related serious adverse events in partnership with Worldwide Patient Safety and oversees safety narratives + Leads… more
- Bristol Myers Squibb (Princeton, NJ)
- …data, including eligibility review + Holds responsibility for site interactions in partnership with the Clinical Scientist (CS) for medical questions and education ... responsibility for assessment of key safety-related serious adverse events in partnership with Worldwide Patient Safety and oversees safety narratives + Collaborates… more
- Travelers Insurance Company (St. Paul, MN)
- …obtain coverage in the voluntary insurance market. This leader will execute strategic and operational initiatives, drive change within assigned unit, and provide ... business partners including Loss Analytics, Actuarial Product, WC Product, Enterprise Risk Management, Finance, brokers, clients, and reinsurers. Reporting to the… more
- Bristol Myers Squibb (Summit, NJ)
- …requires strong alignment with the Cell-Therapy manufacturing network strategy, close partnership with the site management team, and engagement with GPS sites ... managing suppliers and engaging with site stakeholders and global support teams. + ** Strategic Procurement Role:** Focus on strategic value capture at the site… more
- Bristol Myers Squibb (San Diego, CA)
- …and is responsible for ensuring legal compliance, mitigating risks, and providing strategic guidance across various facets of our operations. The Vice President and ... agreements, vendor and services agreements, licensing agreements, confidentiality agreements, partnership agreements, among others. + Establish strong, collaborative relationships… more
