- Florida Atlantic University (Boca Raton, FL)
- …account. Position Summary: Florida Atlantic University is seeking an Associate Director of Physical Plant - Boca Raton, FL. Responsibilities: Operational and ... as acting lead in the absence of the Senior Director , when assigned. + Serve as Essential Personnel. Design,...and standards. + Apply APPA standards to evaluate service quality , allocate resources, and manage performance expectations. + Develop,… more
- Knox Community Hospital (Mount Vernon, OH)
- …Nursing preferred 3 years' experience in physician office setting required Experience in Risk Adjustment and quality measures ie (Hedis/Stars, eCQM's, PCMH) ... and retrospective reviews of patient records to abstract data for identified quality performance indicators. Compiles and organizes data into meaningful reports for… more
- Emanate Health (Covina, CA)
- …MSO personnel on HCC and STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0 and achieves or improves upon ... keep well in body, mind and spirit by providing quality health care services in a safe, compassionate environment....to experience excellence in all we do through the quality of our services, our teamwork, and our commitment… more
- HCA Healthcare (Campbell, CA)
- …colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be a ... may vary by location._** Come join our team as a Director of Quality and Risk Adjustment . We care for our communities and employees! HCA Hope Fund in… more
- Ankura (New York, NY)
- …operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also ... of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for clients. +… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …any legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director of Risk Adjustment Location: Hybrid | Eagan, Minnesota ... Special Services/Product Lines The Impact You Will Have The Director of Risk Adjustment is...impact analysis, pricing guidance, and budget recommendations. * Leads Quality and Risk Adjustment analytic… more
- Datavant (Augusta, ME)
- …for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution ... on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review).… more
- Avera (Sioux Falls, SD)
- …Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director of Quality and ... Risk Services, Manager of Risk Adjustment , Manager of Quality , Quality Coordinator - HEDIS, coder(s), claims staff, and primary care & specialty care… more
- Commonwealth Care Alliance (Boston, MA)
- … Director of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and ... of data systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category (HCC) revenue programs. This… more
- Bristol Myers Squibb (Princeton, NJ)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . Third-Party Risk Management (TPRM) is essential to safeguard patient safety, ensure ... Myers Squibb's reputation by proactively identifying, assessing, and mitigating risk across a complex global supplier network. We seek...a complex global supplier network. We seek an Executive Director with the vision to shape global strategy, the… more
- Bristol Myers Squibb (Summit, NJ)
- …of risks and mitigation projects, ensuring alignment with Business Continuity Management and Quality Risk Management. + Prioritize a selection of risk ... in their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Director , Cell Therapy Drug Product Operations Risk Management, is… more
- Molina Healthcare (MI)
- …Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight ... of all chart collection for Risk Adjustment , RADV, or ...coding. This role also works with the Health Plan Risk / Quality leaders to strategically plan for supplemental… more
- Bristol Myers Squibb (Devens, MA)
- …Controls for processes, including Management Responsibility, Event Management, Change Management, and Quality Risk Management, with a primary focus on regulatory ... to strategically prepare for and manage regulatory inspections, applying principles of Quality Risk Management to ensure inspection readiness and compliance.… more
- Molina Healthcare (Tucson, AZ)
- …healthcare experience with proven relationship management responsibilities * Proven experience in risk adjustment , quality , and provider engagement. * ... or related field. **PREFERRED EXPERIENCE:** 10+ years managed care experience specifically within Risk Adjustment and/or Quality To all current Molina… more
- Mount Sinai Health System (New York, NY)
- …CDQI, who will (1) be responsible for driving key population health goals including access, quality , utilization and accurate risk adjustment with a group of ... practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment...hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment … more
- Commonwealth of Pennsylvania (PA)
- …designs and/or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment and prevention of mental ... experimental designs or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment and prevention of mental… more
- Tufts Medicine (Boston, MA)
- …of Department of Medicine strategies with network and payer priorities. 10. Supports risk adjustment , care model design, and other payer-facing initiatives. 11. ... Performance Metrics (eg, HEDIS, Stars, and clinical outcomes). b.) 25% - Risk Adjustment (accurate RAF coding, documentation, and patient complexity). c.) 65%… more
- CenterWell (Jackson, MS)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety...Responsible for performance management and strategy development for PCO risk adjustment at the division and market… more
- Point32Health (ME)
- …and will work in a matrix environment collaborating with functions including risk adjustment , population health, finance, operations, actuarial, and sales. **Job ... to enable high performing provider networks that support goals for membership growth, quality , and financial performance. The Director will foster and maintain… more
- Bristol Myers Squibb (Princeton, NJ)
- …improvement. * Cultivate and sustain strategic partnerships with External Engagement, Quality Risk Management and Operations & Performance to identify, ... lives. Read more: careers.bms.com/working-with-us . **Position Summary** Reporting to the Director , Inspection Readiness, the Associate Director will help drive… more
