- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …true colors to blue. Under the direction of the Senior Directory of Medicare Risk Adjustment and Analytics , the Director of Risk Adjustment Data ... plan for the Medicare and Merged Market segments. The Director of Risk Adjustment Data and Analytics will oversee the reporting, analytics and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and Analytics . This role will manage the process of ... developing and maintaining the risk adjustment strategic plan. This position will track and monitor the key performance indicators of multi-year strategies and… more
- Datavant (Little Rock, AR)
- …to realize our bold vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role ... manager will collaborate with other managers and the department director to set strategy and mobilize the team to...working with Medicare, ACA, and/or Medicaid risk adjustment models + 5+ years of data analytics… more
- CareFirst (Baltimore, MD)
- … across the organization within Medicare Advantage, Medicaid & ACA markets. The Risk Adjustment Director is responsible for strategic direction, leadership, ... **Resp & Qualifications** **PURPOSE:** The Director , Risk Adjustment oversees...as well as govern, support, and mentor associates within Risk Adjustment analytics , prospective &… more
- Blue KC (Kansas City, MO)
- …with adoption financial assistance** **Employee discount program** **Job Description Summary:** The Director , Government Programs Risk Adjustment & Audit ... for internal coding operations and provider partners based on analytics and guidance for Risk Adjustment initiatives. + Develop and deliver educational… 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
- CVS Health (Lansing, MI)
- …regulatory compliance. + Serve as a subject matter expert on CMS regulations, risk adjustment , and revenue optimization. + Collaborate with internal stakeholders ... CMS Part C/D operations. + 5+ years' experience working with CMS regulations, risk adjustment methodologies, and revenue management. + 5+ years' experience… more
- Bristol Myers Squibb (Devens, MA)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Director , Quality Risk Management will drive consistent Global ... leaders across the BMS network. This position will report into the Senior Director , Risk Management. **Key Responsibilities:** + Provide strategic and tactical… 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 (Des Moines, IA)
- …+ Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, provider ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
- Hensel Phelps (Greeley, CO)
- …planning and extends throughout the life of the property. Position Description: The Director of Finance (Finance Director ) oversees all financial aspects of ... company as well as possible risks and investments. The Director of Finance is a reliable leader with broad...company's finance IT system. + Provides strategic direction regarding risk management and compliance. + Set targets for and… more
- RELX INC (Minneapolis, MN)
- …a variety of financial services products and services, but primarily credit risk assessment, fraud analytics , and financial crime compliance applications. You ... and regulators + Knowledge of machine learning and advanced analytics techniques. + Certification in model risk ...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- Publicis Groupe (New York, NY)
- …countries, Publicis Groupe employs around 103,000 professionals. **Overview** The Associate Director / Director of Marketing Science is responsible for developing ... ML/AI-derived solutions in the above areas. The role will integrate data, analytics , and technology to deliver innovative analytic capabilities for Marketing Science… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …delivery of high-quality, trustable clinical data to support key initiatives around quality, risk adjustment , medicare stars, and interoperability. This is a key ... true colors to blue. What we need The Associate Director of Clinical Data Management will be a key...with cross-functional teams, including clinical operations, performance measurement, and risk adjustment , to execute on data procurement… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Senior Director , Global Pricing and Economics will be responsible for driving ... pricing analytics and strategic insights across the BMS Portfolio and...performed and communicated prior to entering into innovative, at risk , contracts + Ensuring Government Price Reporting's input is… more
- Bristol Myers Squibb (Princeton, NJ)
- …cultivates a team-based, collaborative environment which promotes candor, innovation, and appropriate risk taking. The Executive Director will work closely with ... a team-based, collaborative environment which promotes candor, innovation, and appropriate risk taking. A strong leader with outstanding ability to mobilize a… more
- Bristol Myers Squibb (Princeton, NJ)
- …Investigators also support broader Compliance & Ethics objectives such as analytics , metrics sharing, and training. The Associate Director / Investigator ... lives. Read more: careers.bms.com/working-with-us . The position is for an Associate Director / Investigator in the Compliance & Ethics organization who will be… more
- RELX INC (Washington, DC)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government division, 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
- Bristol Myers Squibb (Sacramento, CA)
- …a pivotal role within our Market Access team. Reporting directly to the Senior Director of Market Access, you are the primary liaison to our payer account customers, ... defend formulary positions for the portfolio. Your timely customer-centric insights, analytics , and market perspectives will unlock access potential while being a… more
- Aston Carter (Chicago, IL)
- Job Title: Global Mobility Manager Job Description We are seeking a Director of Global Mobility and Immigration to lead and develop a specialized team of ... + Establish compliance protocols and oversee audits to minimize immigration risk . + Build strategic relationships with external immigration partners and establish… more