- Molina Healthcare (Ridgeland, MS)
- **Job Description** **Job Summary** The AVP , Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and ... of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality subject... subject matter expert for the health plan. The AVP leads a plan with a large membership base,… more
- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** The AVP , Risk Adjustment Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight ... the integrity of enterprise revenue, and enabling the organization's overall risk adjustment strategy. Knowledge/Skills/Abilities + Responsible for encounters… more
- Molina Healthcare (Atlanta, GA)
- …healthcare experience with proven relationship management responsibilities * Proven experience in risk adjustment , quality , and provider engagement. * ... using all areas of RQS staff with oversight from AVP as needed. * May supervise one or more...**PREFERRED EXPERIENCE:** 10+ years managed care experience specifically within Risk Adjustment and/or Quality To… more
- HCA Healthcare (Nashville, TN)
- …the professional staff positions in the HCI Claims Department and in the larger Risk & Insurance Department reporting to a Director of Claims. As the Senior Claims ... problem solve and proactively manage and resolve claims. Job Responsibilities: Quality + Handle professional medical malpractice liability cases with a designated… more
- Citigroup (Tampa, FL)
- …of driving data strategy and ensuring the highest standards of data quality and governance. **Team Overview: Regulatory and Analytics (R&A)** The Regulatory and ... across various business and technology units to implement robust data quality management policies and procedures, and to provide subject matter expertise… more