- 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
- 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)
- …performing team responsible for maintaining, executing, and evaluating initiative impacts using the risk adjustment and quality analytics models across ACA ... of data submissions for ACA Commercial, Medicare, and Medicaid risk adjustment and quality programs. * Design...Education Required Required Skills and Experience * Accepting this director level position at BCBSMN requires signing an Employee… 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
- CenterWell (Tallahassee, FL)
- …+ 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
- Point32Health (RI)
- …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
- 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
- Bristol Myers Squibb (Devens, MA)
- …data quality, forward-looking metrics, and predictive insights that support a proactive, risk -based EHSS culture. In parallel, the Director defines and leads ... personal lives. Read more: careers.bms.com/working-with-us . **Position Summary:** The Director , EHSS Performance & Systems Innovation provides strategic leadership… 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)
- …of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment /HCC principles. * Strong technical proficiency and experience ... *This Senior Director position is eligible to participate in the...in professional fee/physician services operations, analytics , and reporting. **Job:** **Business Office* **Organization:** **Scripps Health… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Senior Director , PM Systems and Infrastructures is responsible for developing, ... by integrated, scalable, and fit-for-purpose tools and processes. The Senior Director oversees key platforms-including ePlan (Planisware) for the development plan… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …identify risks and opportunities for improvement. * Collaborate with Pharmacy, Risk Adjustment , Network Management, Care Management, Member Experience, Medical ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director of Value Performance Quality Location: Hybrid | Eagan, Minnesota Career… 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 (Tampa, FL)
- …their personal lives. Read more: careers.bms.com/working-with-us . Position Summary As the Director , Process & Design Engineering for Payroll, you will lead the ... reduce manual intervention, minimize errors, and accelerate payroll processing. + **Data Analytics & Reporting:** Collaborate with analytics teams to develop… 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
- New York State Civil Service (Albany, NY)
- …Agency Financial Services, Department of Title Virtual Currency Manager ( Director Financial Services Programs 1, SG-31) Occupational Category Financial, Accounting, ... be limited to, some or all of the following:* Conducts on-going, risk -based examination and monitoring activities, including desk-based and onsite exams, cadence… 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 ... About the Business LexisNexis Risk Solutions is the essential partner in the...challenges and opportunities for our customers. + Collaborate with Analytics and Product Management to ensure appropriate standards and… more
- Bristol Myers Squibb (Princeton, NJ)
- …behavior. Our Compliance & Ethics team is committed to enabling well-informed, risk -based decisions that get more medicines to more patients, faster. You will ... will be responsible for the management of E&M compliance risk , working across the other Risk , Operations...contact for other ROI teams, IT, Business Insights and Analytics , Procurement, Commercial and other functions to enable, strategy… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Director , Customer Engagement Strategy & Operations serves as Chief of Staff ... the global Omnichannel & AI organization. As a dynamic leader, the Director ensures stakeholder alignment and coordinated execution to advance BMS's omnichannel and… more