- Fallon Health (Worcester, MA)
- …have shared ownership within the Analytics staff for product line(s) as assigned by the Risk Adjustment Operations and Analytics Manager and will be a SME ... of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for the Elderly)- in the...Summary of Purpose** : The primary role of the Risk Adjustment Analyst (RAA) will be to… more
- Fallon Health (Worcester, MA)
- …feedback and submit to Manager for provider education efforts + Update risk adjustment software with all relevant chart review observations + Meet or ... and report on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to ensure coding and clinical documentation accuracy and consistency. Collaborating with the Manager of Risk Adjustment Operations, this position will also ... This position is eligible for the Flex persona The Risk Adjustment Senior Coding Quality Auditor &...develop, evaluate and administer a Quality Review Program by auditing medical records reviewed by the coding… more
- Bristol Myers Squibb (Devens, MA)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Position:** Manager , Cleaning Validation, Validation Engineering **Location** : Devens, MA ... maintenance of the cleaning validation and changeover cleaning verification program elements for a fully automated, multi-product, biologics manufacturing facility… more
- Bristol Myers Squibb (Devens, MA)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Title: Sr. Manager / Associate Director, Global Sterility Assurance CTTO** **Location: Seattle, ... than here at BMS with our Cell Therapy team. T he **Sr Manager /Associate Director - Sterility Assurance, Cell therapy technical Operations** reports to the Director,… 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...the accuracy and efficiency of your blue sky compliance program . Simplify blue sky compliance and streamline go-to-market activities… more
- Aerotek (Woburn, MA)
- …position reports to the Environmental Health and Safety Controller and Regional Safety Manager Lead. This person will be supporting the Northeast (PA, NJ, NY, DC, ... occupational safety & health, and for specialized expertise in designated industry-specific, program , and technical areas of safety & health. The incumbent will… 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 and… more
- Candela Corporation (Marlborough, MA)
- ** Manager , NA Payroll and Benefits** Requisition Number **2764** Location **US - Marlborough, MA** State/Territory **Massachusetts** Candela Corporation is a leading ... marketing development organizations and distributorship arrangements. **General Summary** The Manager , Payroll and Benefits is responsible for the management -… more
- Bristol Myers Squibb (Devens, MA)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . The Manager , Sr. Validation Engineer I supports the successful implementation of ... plans and policies as needed. + Execute work arising from change strategy, risk assessment, testing and compliance gaps. + Provides Single Point of Contact (SPOC)… more
- RELX INC (Cambridge, MA)
- …well-being and champions continuous improvement to enhance efficiency. About the Role As a Manager - Compliance & Tax Reporting, you will report to the Director - ... benefits we are delighted to offer: + Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits. + Retirement Benefits: 401(k)… 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 ... and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. + Responsible...to maximize results; customize ACA reporting views and outreach manager data needed for day to day operations work.… more
- Commonwealth Care Alliance (Boston, MA)
- …industry knowledge of highly impactful external audits such as Risk Adjustment Data Validation Audit, CMS Program Audit protocols, common findings, and ... + Contribute towards the maintenance and enhancement of an effective Compliance Risk Assessment Program + Project manage regulator and other external reviews… more
- CenterWell (Boston, MA)
- …Must possess an active RN license + A minimum five years' experience in risk adjustment coding, auditing, and/or education, working with providers + CPC ... other clinical education projects and programs as needed, as program or project manager . + As a...experience + Knowledge of EMR + In-depth knowledge of risk adjustment key performance indicators + Comprehensive… more
- Bristol Myers Squibb (Cambridge, MA)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** Partners with the Global Program Lead (GPL) and Global Project Manager (GPM) to co-lead ... BMS:** + The PM partners closely with the Global Program Lead (GPL) and Global Project Manager ... operational strategy, management of timelines, budget, quality, and risk assessment and mitigation. + The PM works independently… more
- Boston Public Schools (Boston, MA)
- …social workers receive support from a District Social Worker in addition to the Program Director of Social Work. The Office of Social Work aims to provide ... and receive coaching and feedback from the team of District Social Workers, Program Director of Social Work, and Director of Student Support to ensure continuous… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …Albany Street based on need and availability. You will also report directly to the Nurse Manager of the OBAT program with a dotted line to the specific site ... cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that...people using cocaine and fentanyl are at especially high risk . You can make a difference! In this vital… more
- Boston Public Schools (Boston, MA)
- …leaders for hiring teams to interview. Reports to: School Leader Secondary evaluator: Program Director of Social Work or Director of Student Support; With support by ... families in their native language as identified by the program . In collaboration with the school and educators the...wide Crisis Team as needed. This includes supporting Suicide Risk Assessments and Threat Assessments (with the school crisis… more
- Harvard University (Cambridge, MA)
- …of a diverse population of adolescents and adults, eating disorders; multicultural adjustment issues; fluency in a foreign language (Chinese, Japanese, Korean, or ... ensure timely access to the appropriate services. + Identifies and monitors high- risk patients and expedites an individualized crisis management plan. + Develops and… 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 ... with Global Development Operations/Global Compliance Group to develop asset level risk management plan, resolves issues with Quality/CS, and raises to DT… more