- Quarterra (TX)
- …amenities. For additional information, please visit Quarterra.com. Summary of Position: The Director , Governance, Risk & Compliance will be at the forefront ... Physical Requirements: This is primarily a sedentary office position which requires the Director , Governance, Risk & Compliance to have the ability to operate… more
- Cambia Health Solutions, Inc (Renton, WA)
- …in critical objectives such as population health management, Medicare Stars, and Risk Adjustment .Here are some of the exciting responsibilities you'll ... health management, Provider contracting and reimbursement, managed care, healthcare delivery, risk adjustment , StarsOr equivalent combination of education and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …collaborative efforts to design and create content-specific internal and external risk adjustment training curriculum and programsShall set priorities for ... to enhance understanding of clinical documentation improvement goals to achieve risk adjustment strategic goals and objectivesCoordinate and deliver programs… more
- Atrium Health (Charlotte, NC)
- …This leaders will be a key subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on priorities ... quality of care metrics. Assumes accountability as delegated by the Director . Essential Functions: Position manages and develops interprofessional teams, providing… more
- 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 ...Senior Director is expected to lead the risk adjustment operations and strategy around improvement… more
- Somatus (Mclean, VA)
- Overview The Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment ... on an MRA strategy (eg prospective, retrospective, concurrent approaches). + Lead risk adjustment operational programs aimed at monitoring, oversight, and… more
- 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
- 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 ... health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (Medicare) will be responsible for leading Risk Adjustment… more
- 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 ... health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (Medicare) will be responsible for leading Risk Adjustment… more
- 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 (Hartford, CT)
- …National Programs for the Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment National Programs, this individual ... will work closely with risk adjustment programs to monitor performance, track activities and drive innovation while being committed to revenue integrity… more
- Centene Corporation (Columbia, SC)
- …medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation...include Provider Relations, Quality as well as the Medical Director for the state assigned to ensure compliance of… more
- The Cigna Group (Nashville, TN)
- …disciplines, supporting our technology landscape. The position reports directly to the Senior Director of Clinical, Risk Adjustment , Quality and CareAllies. ... **Responsibilities:** 30% - Collaborate with senior leadership. + Participate in portfolio project discussions about HEDIS(R) and serve as a subject matter expert. + Thinking analytically and strategically as you look for ways technology can help support new… more
- 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
- Universal Health Services (Reno, NV)
- …strategies within the Prominence Health umbrella. Emphasis will be centered around risk -based contract performance, risk adjustment , and quality measurement ... Director has programmatic oversight and responsibility for achieving all risk adjustment , quality, and overall value based contract performance outcomes.… more
- 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
- RELX INC (Houston, TX)
- 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
- Providence (Portland, OR)
- …budgeting, projecting provider risk sharing and alternative payment amounts, and estimating risk adjustment and risk transfer payment amounts. + Key ... Bids and Benefit Modifications + Medical and Pharmacy Trends + RAF ( Risk Adjustment ) Performance + Network Performance + Mentor managers and analyst and fosters… more
- RELX INC (Alpharetta, GA)
- Sr. Director , Program Management and Strategy Position sits in Boca Raton, FL - HYBRID Work Environ About the business: LexisNexis Risk Solutions is the ... essential partner in the assessment of risk . Within our Business Services vertical, we help our...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- 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
