- Kaiser Permanente (Baltimore, MD)
- Overview: The Senior Manager role, reporting to the Senior Director in Risk Adjustment and will manage 3-4 direct reports in the Medicare risk ... standards. This role will support development and maintenance of key risk adjustment policies and procedure (coding guidance, chart review, deletes, QA).… more
- Cano Health (Jupiter, FL)
- …for patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess, monitor and document claims ... appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow...questions for multiple provider offices as directed Update the Director on the status on a weekly basis Notifies… more
- Restoration Management Company (Kent, WA)
- …of job(s) via work orders. This position reports directly to the Regional Director and interfaces with other departments within the company as required. Key ... and recommends further work to adjusters or clients Tracks project plans and makes adjustment , as and where needed, to stay on track and meet contract schedules.… more
- Actalent (Los Angeles, CA)
- Job Title: Project Director K-14 DSA Job Description The Project Director provides leadership in areas of project management and operations, overseeing one or ... relationships, internal administration, financial management, and employee development. The Project Director reports to the Area Manager and is responsible for… more
- NORTH EAST MEDICAL SERVICES (Burlingame, CA)
- …include Utilization Management, Case Management, Quality Improvement, Risk Adjustment , and provider engagement. The Medical Director will collaborate ... Salary Range $341464.54 - $398103.69 Salary Description The Medical Director will play a pivotal role in leading and...while maintaining the highest standards of clinical quality. 3. Risk Adjustment and HCC Coding: Collaborate with… more
- Memorial Healthcare (Owosso, MI)
- JOB SUMMARY Reports to the Director . Has 24-hour responsibility for the management of nursing personnel, ancillary personnel, and patient care in the assigned ... environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences. Demonstrates knowledge of and supports… more
- PacificSource (Portland, OR)
- …team member and physician leader at all times. Understand and apply knowledge of risk adjustment and hierarchical condition categories as it relates to clinical ... and strengths. Under the leadership of the Senior Medical Director , the Medical Director is responsible for...and care. Excellent understanding of the insurance industry and risk factors and how they relate to the PacificSource… more
- Bristol-Myers Squibb Company (Devens, MA)
- …team. Bristol Myers Squibb is seeking a driven and experienced Associate Director , Manufacturing and Process Support Innovation Lead to lead the transformation of ... Support execution of improvement projects, changes, validations, and process risk evaluations. Knowledge & Skills: Thorough understanding of process support,… more
- Molina Healthcare (Long Beach, CA)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. Facilitates conformance to Medicare, Medicaid, NCQA… more
- Bristol-Myers Squibb Company (Princeton, NJ)
- …Squibb (BMS) is seeking an exceptional leader for the position of Executive Director , Business Insights and Technology (BI&T) Procurement. This role is a unique ... supply chain through productivity initiatives and strong partnerships. As the Executive Director , BI&T Procurement, you will be responsible for the development and… more
- Bristol-Myers Squibb Company (Summit, NJ)
- …personal lives. Read more: careers.bms.com/working-with-us. The primary purpose of the Associate Director , Cell Therapy - Direct Materials role will be to develop ... Develop and enable Direct Material supply strategies that contemplate cost, risk mitigation, supply assurance, quality, supplier diversity, innovation, and supplier… more
- Sante Health (Fresno, CA)
- …Director will oversee and drive quality improvement initiatives, enhance Medicare Risk Adjustment and HEDIS measure performance, and support overall ... POSITION. A challenging and rewarding opportunity awaits a new Director of Quality Management at Sante Health System in...programs. Initiate programs and process to increase Medicare Advantage Risk Adjustment Factor rates. Manage Sante Quality… more
- World Health Organization (Washington, DC)
- …rules and regulations. DESCRIPTION OF DUTIES Under the general supervision of the Director of Administration (AM), and the direct supervision of the Director , ... competencies in strategic sourcing, supplier relationship management, contract and risk management. Mature judgment, strong technical, analytical and conceptual… more
- Veracity Solutions (White Plains, NY)
- …Time Day: Mon-Fri 7-3/8-4/9-5 Every other weekend and alternating holidays Reports to: Director of Pharmacy, Assistant Director of Pharmacy Under the general ... direction of the Director /Assistant Director /Manager of Pharmacy Services, the Registered...methods of Infection Control, participates in the PI and Risk Management programs, demonstrates competency by completing all established… more
- Child Care Resource Center (Chatsworth, CA)
- …This position serves as the primary contact and liaison for the program director , management staff, funders and grantors for the program area assigned. The GM ... needs of and effectively convey financial results and information to the program director and managers. o Lead team in completing monthly projections that roll up… more
- Ellie Mental Health (Smyrna, TN)
- …Clinic Manager is a mid-tier administrative role responsible for supporting the Clinic Director in the oversight of performance and operations of the clinic. This ... position supports the Clinic Director and clinic staff; assist with staffing needs; provide...local laws. A reasonable accommodation is a change or adjustment to a job or work environment that will… more
- Ellie Mental Health (Allentown, PA)
- …This position will be under the general direction of the Clinical Director Learn more about our amazing company at www.elliementalhealth.com! Ellie Mental Health ... local laws. A reasonable accommodation is a change or adjustment to a job or work environment that will...in mental health are tough jobs with a high risk of emotional fatigue and burnout. At Ellie, we… more
- Gelest (Morrisville, PA)
- …weakness and prioritizes gap closure to continuously reduce the process safety risk of the unit. Ensures safeguards and mitigations are effective. Maintains internal ... among the elements and ensures effectiveness. Collaborates with the Director of Operations, Senior Managers of Operations, Engineering Managers, Maintenance… more
- Ellie Mental Health (Freehold, NJ)
- …###@elliementalhealth.com addressed to the attention of Ryan Fields, MA, LPC, ACS, Clinic Director at the Ellie Mental Health Freehold Office located at 800 West ... local laws. A reasonable accommodation is a change or adjustment to a job or work environment that will...in mental health are tough jobs with a high risk of emotional fatigue and burnout. At Ellie, we… more
- Bristol-Myers Squibb Company (Atlanta, GA)
- …and development potential. The DBM reports to the Regional Business Director and works collaboratively across matrix of Commercial, Medical, Access organizations, ... by your state of residence; and 3) a driving risk level deemed acceptable by the Company. Key competencies...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
