- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid | ... us. The Impact You Will Have We are looking for a Director of Risk Adjustment and Quality Analytics to lead a team that delivers insights and results in… more
- HCA Healthcare (Campbell, CA)
- …alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you ... vary by location._** Come join our team as a Director of Quality and Risk Adjustment...Adjustment programs + Using the Cozeva tool, use analytics to define the Risk Adjustment… 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 ... Career Area: Special Services/Product Lines The Impact You Will Have The Director of Risk Adjustment is a key leader responsible for shaping risk … 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
- Bristol Myers Squibb (Princeton, NJ)
- …This role is part of the Global Pricing organization and reports to the Director of PBM/Payer, Contract Strategy and Analytics . The Associate Director ... versus other available therapies in therapeutic areas where BMS competes. The Associate Director of Contract Strategy and Analytics utilizes a deep understanding… more
- Banner Health (Phoenix, AZ)
- …models and population health management. Strong understanding of healthcare economics, risk adjustment methodologies, and quality measurement frameworks. Proven ... payer operations, particularly in value-based care arrangements. Experience with healthcare risk adjustment models and quality measurement frameworks (HEDIS,… 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
- 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 ...performance indicators. + Collaborates with the national intervention collaborative analytics and strategic teams to deliver value for both… more
- Mount Sinai Health System (New York, NY)
- …adjustment with a group of practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system. This ... hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially our patients covered… more
- CenterWell (Jackson, MS)
- …+ Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, provider ... caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety...function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible… more
- RELX INC (Alpharetta, GA)
- …technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help drive ... You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About the Role As the Director of Identity and Access… more
- Point32Health (NH)
- …care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment . In-depth health care reimbursement and managed care business ... (https://www.point32health.org/) . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Network Performance Analyst will be… more
- US Foods (MD)
- …Join Our Community of Food People! BASIC PURPOSE As a Senior Director , Region Replenishment within US Foods, you will be pivotal in the ... organization, and driving continuous improvement within the function. As a Senior Director , Region Replenishment, you are accountable for the region's service levels… more
- RELX INC (Alpharetta, GA)
- …technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help drive ... You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About the Role As the Senior Director of Marketplace and… more
- J&J Family of Companies (Spring House, PA)
- …health for humanity. Learn more at https://www.jnj.com **Job Function:** Data Analytics & Computational Sciences **Job Sub** **Function:** Clinical Data Management ... Description:** Johnson & Johnson is recruiting for a Senior Director , Data Management and Central Monitoring located in either...to be capable of representing DM&CM and Integrated Data Analytics and Reporting (IDAR) in a leadership capacity. The… more
- CVS Health (Hartford, CT)
- …with a focus on forecast accuracy, key value realization across Stars, Risk Adjustment , provider/value-based care (VBC) economics, and investment evaluation. ... it all with heart, each and every day. **Position Summary** The Executive Director , Strategic Finance will lead a newly established Strategic Finance function within… more
- RELX INC (Washington, DC)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... informed decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/government About the Team:… more
- Scripps Health (San Diego, CA)
- …Comprehensive understanding of*ICD, CPT, and HCPCS*coding systems,*MS-DRG/APR-DRG*methodologies, and* risk adjustment /HCC*principles. * Strong technical ... *This Senior Director position is eligible to participate in the...proficiency and experience in*professional fee/physician services operations*, analytics , and reporting. **Job:** **Business Office* **Organization:** **Scripps Health… more
- Ankura (Lexington, NY)
- …assessment. + Apply innovative techniques to healthcare engagements including those related to Risk Adjustment . + Expand and build new products in a ... an Industry thought leader in healthcare topics like predictive analytic applications, risk adjustment , and value-based care. + Develop, supervise, and motivate… more
- Bristol Myers Squibb (Princeton, NJ)
- …& Site Solutions categories-collectively known as Clinical Enablement. This Senior Director will redefine how Clinical Development Procurement (CDP) drives value by ... digital, and patient-focused innovation-enhancing supplier collaboration, integrating automation and analytics , and aligning enterprise stakeholders toward measurable value delivery.… more