- Martin's Point Health Care (Portland, ME)
- …certified as a "Great Place to Work" since 2015. Position Summary The Senior Director of Risk Adjustment Operations in our Health Plan is responsible the ... maintenance, monitoring and oversight of Medicare Risk Adjustment initiatives and operations. The Senior Director is also responsible for all aspects… more
- The Cigna Group (Nashville, TN)
- …our technology landscape. The position reports directly to the Senior Director of Clinical, Risk Adjustment , Quality and CareAllies. ... the other shared service organizations across Cigna's technology landscape. As a Senior Application Development Manager, you will serve as a dynamic technology… more
- Elevance Health (Woodland Hills, CA)
- ** Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** This position will work a hybrid model (remote and office). The ideal ... Elevance Health PulsePoint location in Woodland Hills, CA. The ** Director of Medicare Risk Adjustment .... Reports project status and progress to business unit senior management. . Ensures accuracy and timeliness of output… more
- CVS Health (Jackson, MS)
- …deliver solutions to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (Medicare) will be responsible for ... act independently when working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the Gulf States Medicare… more
- CVS Health (Atlanta, GA)
- …deliver solutions to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (Medicare) will be responsible for ... act independently when working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the Gulf States Medicare… more
- Bristol Myers Squibb (Trenton, NJ)
- …at work and in their personal lives. Read more: careers.bms.com/working-with-us . The Executive Director , Supplier Risk and TPRM will lead BMS' Supply Risk ... and implementing a comprehensive drug development and supply chain (including Distribution) risk management strategy and overseeing the TPRM program. The role will… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …on real-world evidence, and creating hope for all facing illness. The Senior Director , Commercial Regulatory Affairs, is responsible for the development ... pertain primarily to marketed products in US and Canada. In addition, the Senior Director , Commercial Regulatory Affairs, in collaboration with Head, Regulatory… more
- Providence (Portland, OR)
- …budgeting, projecting provider risk sharing and alternative payment amounts, and estimating risk adjustment and risk transfer payment amounts. + Key ... Benefit Modifications + Medical and Pharmacy Trends + RAF ( Risk Adjustment ) Performance + Network Performance +...key analyses with appropriate level of detail analysis for senior leaders. + Manage vendor and consulting relationships. +… more
- Scripps Health (San Diego, CA)
- …Coding, Clinical Documentation Integrity (CDI) and Health Information Management HIM. The Senior Director manages the staff responsible for hospital and ... of industry best practices in technology and workflow. The Senior Director will use these skills and...accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. . Directs… more
- Vanderbilt University (Nashville, TN)
- Job Description The Senior Director of International Experiences and Global Learning is a visionary leadership role within the Office of the Provost and will ... Undergraduate Education, serving as a key member of the senior leadership team. The Senior Director...and well-being of all university travelers by overseeing robust risk management processes and protocols for international programs. +… more
- Citigroup (New York, NY)
- …globally with dedicated teams located in New York, Tampa, and London. The Basel Market risk and CCR RWA Senior Specialist will report to the Head of CIAT, ... for application by Citigroup firm-wide. + Specialist in Market Risk (FTRB), Credit Valuation Adjustment (CVA) and...Risk , Finance and Business partners. The Basel RWA Senior Specialist will be directly involved in a variety… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …for all facing illness. As a senior member of Clinical Operations, the Senior Director , Clinical Operations will lead the full development team in designing, ... corporate objectives leading to submission for world-wide marketing applications. The Senior Director , Clinical Operations will be responsible for clinical… more
- RELX INC (Norwalk, CT)
- Sr. Director , Program Management Position is remote within US About the business: LexisNexis Risk Solutions is the essential partner in the assessment of risk ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. We are a fast-growing… more
- reveleer (CA)
- Senior Director , Engineering Operations Location: Glendale, CA or Remote Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to ... all business lines greater control over their Quality Improvement, Risk Adjustment , and Member Management programs. With...We are looking for a highly motivated and experienced Senior Director of Engineering Operations to lead… more
- VIP Care (Tampa, FL)
- …Medical Record (EMR) system to review Patient records + Proficiency in Medicare Risk Adjustment + Effective communication and interpersonal skills + Proficiency ... Summary/Objective: The Senior Medical Director is responsible for leading efforts to develop and implement medical management and performance improvement… more
- Bristol Myers Squibb (Madison, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . In this role, the Senior Director , WW Cell Therapy Medical Affairs, Strategy and Operations: ... Work with MEH and Finance to forecast MEG cost recognition and develop risk - adjustment model to allow better forecasting of committed spending. + Work closely… more
- Bristol Myers Squibb (Madison, NJ)
- …at work and in their personal lives. Read more: careers.bms.com/working-with-us . Senior Director , WW Medical Neuropsychiatry, Strategy and Operations is ... Medical Affairs and Finance to forecast MEG cost recognition and develop risk - adjustment model to allow better forecasting of committed spending. + Oversight of… more
- CVS Health (Columbus, OH)
- …treatment protocols for DSNP/MMP and other complex health populations to optimize risk adjustment , clinical quality, and care management* Actively participate in ... programs to ensure providers deliver appropriate, high-quality, cost-effective health risk assessments and other clinical services that are evidence-based* Work… more
- Bristol Myers Squibb (Summit, NJ)
- …both at work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Director will be the clinical lead to progress multiple early ... with Global Development Operations/Global Compliance Group to develop asset level risk management plan, resolves issues with Quality/Clinical Scientists, and raises… more
- Universal Health Services (Reno, NV)
- …the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Senior Director , Performance Improvement provides strategic leadership in ... strategies within the Prominence Health umbrella. Emphasis will be centered around risk -based contract performance, risk adjustment , and quality measurement… more
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