• Senior Director Risk

    Martin's Point Health Care (Portland, ME)
    …been certified as a "Great Place to Work" since 2015. Position Summary The Senior Director of Risk Adjustment Operations in our Health Plan is responsible ... maintenance, monitoring and oversight of Medicare Risk Adjustment initiatives and operations. The Senior Director ...the external market, competition and regulatory environment to create value for the enterprise. + In compliance with MPHC's… more
    Martin's Point Health Care (04/02/24)
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  • Director of Risk Adjustment

    Trinity Health (Fort Lauderdale, FL)
    …or perform data mining and data-driven analysis to forecast/evaluate the performance of the risk adjustment program and refine annual risk adjustment ... program strategies to achieve optimal performance. Incorporate data-driven analysis into the risk adjustment processes. + Develop and monitor metrics of program… more
    Trinity Health (04/12/24)
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  • Provider Engagement Manager, Medicaid Risk

    CVS Health (Northbrook, IL)
    …initiatives across the Aetna Better Health Plans. Reporting to the Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the ... at fostering meaningful collaborations with healthcare providers and aligning the Medicaid Risk Adjustment initiatives to broader Aetna Medicaid Health Plan… more
    CVS Health (04/06/24)
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  • Medicare Risk Adjustment Educator,…

    CVS Health (Jackson, MS)
    …strategically and act independently when working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the Gulf ... more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (Medicare) will be responsible for...accuracy by partnering closely with leadership from our key value -based providers. The role drives, in collaboration with the… more
    CVS Health (03/29/24)
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  • Medicare Risk Adjustment Educator,…

    CVS Health (Atlanta, GA)
    …strategically and act independently when working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the Gulf ... to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (Medicare) will be responsible for leading Risk more
    CVS Health (03/20/24)
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  • Sr. Director , Value Based Care

    Universal Health Services (Reno, NV)
    …responsibility for achieving all risk adjustment , quality, and overall value based contract performance outcomes. The Senior Director works closely with ... Responsibilities Prominence Health is a value -based care organization bridging the gap between affiliated...the Prominence Health umbrella. Emphasis will be centered around risk -based contract performance, risk adjustment ,… more
    Universal Health Services (03/29/24)
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  • Executive Director - IPV, Market…

    Santander US (New York, NY)
    Executive Director - IPV, Market Risk - Corporate & Investment Banking (CIB) New York, United States of America **Position Summary:** The Executive Director ... supporting the end-to-end Fair Valuation processes of the Market Risk area, ensuring that all US-owned risk ...and Close-out-Cost (CoC) metrics for Fair & Additional Valuation Adjustment (FVAs & AVAs) reports, based on IPV statistical… more
    Santander US (04/11/24)
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  • Medical Director , Value -Based Care

    Firefly Health (Watertown, MA)
    …quality care. Areas will include, but not limited to, capturing accurate risk adjustment , population segmentation service design, care management/high risk ... mission, then we would love to hear from you. Description As the Medical Director , Value -based Care you will play a pivotal role in overseeing our clinical care… more
    Firefly Health (05/01/24)
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  • Director Of Integration & Population Health

    Baystate Health (Springfield, MA)
    …key drivers of value -based care success including medical management, financial risk methodologies, risk adjustment capture, HEDIS quality outcomes, and ... designed to manage and optimize medical management opportunities, address appropriate risk adjustment , quality management, and align programs to maximize… more
    Baystate Health (05/13/24)
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  • Legal Services Director

    International Rescue Committee (Baltimore, MD)
    Requisition ID: req51568 Job Title: Legal Services Director Sector: Legal Employment Category: Regular Employment Type: Full-Time Compensation: USD 110,000.00 - ... Arrangement:In-person Job Description JOB OVERVIEW: IRC seeks a Legal Services Director to provide vision, strategy, and leadership to immigration legal services… more
    International Rescue Committee (04/26/24)
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  • Business Development and Strategic Alliance…

    University of Colorado (Aurora, CO)
    …+ Ensure effective management of the deal post-closing, including alliance management, value tracking and course adjustment as necessary. **Work Location:** ... across multiple stake-holding groups. The Business Development and Strategic Alliance Program Director will drive mission aligned value for CU Innovations by… more
    University of Colorado (04/17/24)
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  • Healthcare Technology Business Development Program…

    University of Colorado (Aurora, CO)
    …+ Ensure effective management of the deal post-closing, including alliance management, value tracking and course adjustment as necessary. **Work Location:** ... Healthcare Technology Business Development Program Director - 32804 University Staff **Description** **University of Colorado Anschutz Medical Campus** **Department:… more
    University of Colorado (04/16/24)
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  • Director of Product Analytics, ThreatMetrix…

    RELX INC (New York, NY)
    About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn...part of LNRS growth. About the Role As the Director of Product Management/ Analytics, you'll lead a vibrant… more
    RELX INC (04/05/24)
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  • Senior Director , Commercial Regulatory…

    Mitsubishi Chemical Group (Jersey City, NJ)
    …real-world evidence, and creating hope for all facing illness. The Senior Director , Commercial Regulatory Affairs, is responsible for the development and execution ... to marketed products in US and Canada. In addition, the Senior Director , Commercial Regulatory Affairs, in collaboration with Head, Regulatory Affairs and CMC-RA,… more
    Mitsubishi Chemical Group (03/01/24)
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  • Senior Medical Director (Tampa, FL)

    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...community practices, and other key practice staff to drive value -based care success. They will support the establishing and… more
    VIP Care (04/20/24)
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  • Director , Actuarial Services

    Evolent Health (Columbus, OH)
    …analytics to drive decision making and with Hierarchical Condition Category Risk Adjustment - **Preferred** . + Leadership/ mentoring experience supporting ... Actuarial Team offers candidates the opportunity to support the evolution of value -based care across all lines of business by collaborating directly with primary… more
    Evolent Health (05/11/24)
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  • Director , Cell Therapy, Medical…

    Bristol Myers Squibb (Madison, NJ)
    …. **Position Summary** We are seeking a Cell Therapy Medical Communications Director with a deep understanding of the relevant disease states, medical education, ... Medical Affairs and Clinical Development. Position reports to the Executive Director of Medical Cell Therapy Medical Communications within Global Medical Affairs… more
    Bristol Myers Squibb (05/15/24)
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  • Basel RWA Senior Specialist - Market Risk

    Citigroup (New York, NY)
    …by RCPG for application by Citigroup firm-wide. + Specialist in Market Risk (FTRB), Credit Valuation Adjustment (CVA) and Derivatives Counterparty Credit ... will report to the Head of CIAT, a Managing Director , and will act in a leadership role during...(RWA) regulations is required with a specialization in Market Risk (FTRB), Credit Valuation Adjustment (CVA) and… more
    Citigroup (05/10/24)
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  • Senior Director , Clinical Operations

    Mitsubishi Chemical Group (Jersey City, NJ)
    …all facing illness. As a senior member of Clinical Operations, the Senior Director , Clinical Operations will lead the full development team in designing, planning, ... leading to submission for world-wide marketing applications. The Senior Director , Clinical Operations will be responsible for clinical development strategy,… more
    Mitsubishi Chemical Group (05/15/24)
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  • Associate Director , Launch Management

    Bristol Myers Squibb (Trenton, NJ)
    …their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Associate Director , Launch Management will play a key role delivering and ... to deliver their launches against the Launch Excellence framework. The Associate Director , Launch Management will provide expert guidance to brand teams ensuring… more
    Bristol Myers Squibb (05/02/24)
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