- CareOregon (Portland, OR)
- Job Title Risk Adjustment Analytics Manager Exemption Status Exempt Department Finance Manager Title Director , Risk Adjustment Direct Reports ... Responsible for the development, execution, and management of the risk adjustment data analytics programs...Responsibilities Technical and Operational Management + Work with the Director of Risk Adjustment in… 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 ...medical record documentation. Working closely with the Health Plan's Risk Adjustment Data Analytics and… more
- Somatus (Mclean, VA)
- Overview The Director , Medicare Risk Adjustment ...with Finance and Analytics team to establish risk adjustment analytics such as ... (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment Programs to optimize the programs' clinical benefit, financial… more
- UCLA Health (Los Angeles, CA)
- …all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is ... and the manager of coding and education. The Assistant Director of Risk Adjustment will...Bachelor's degree in Healthcare Administration, Public Health, Finance, Business Analytics , or a related field or equivalent experience *… more
- Trinity Health (Fort Lauderdale, FL)
- …in a leadership role in a capacity developing and implementing risk adjustment , coding, wellness assessment, and analytics programs and processes + Expertise ... or perform data mining and data-driven analysis to forecast/evaluate the performance of the risk adjustment program and refine annual risk adjustment … more
- Zions Bancorporation (El Segundo, CA)
- … risk team independent of the business' front-line revenue-generating units. The Market Risk Analytics - Director will be responsible for enhancing the ... Adjustment (CVA). As part of the independent market risk control function, this individual would also be responsible...analytics , if required. To be successful, the Market Risk Analytics - Director will… more
- RELX INC (New York, NY)
- …analytics and drives a key part of LNRS growth. About the Role As the Director of Product Management/ Analytics , you'll lead a vibrant team of product owners ... strategies. Requirements + Have proven experience in Product Management, Risk Management, Analytics , or Machine Learning. +...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… 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
- Bristol Myers Squibb (New Brunswick, NJ)
- …more: careers.bms.com/working-with-us . The Senior Manager, Strategy & Business Excellence (SBE) Analytics will work directly with the Director , SBE Analytics ... planning activities within Global Supply Chain (GSC). The Senior Manager, SBE Analytics will lead technical projects in developing data science solutions for GPS… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . The Real-World Data Analytics , Innovation & Partnerships (RWDAIP) Senior Director , Development ... asset to the organization + Assess global data and analytics environment, public and private, to ensure current views...databases / platforms is streamlined and secure to mitigate risk + Design and implement a global RWD governance… more
- Walmart (Bentonville, AR)
- …for the development and delivery of provider education and training as assigned, including risk adjustment , quality, focus on care, and optimal care. + Develops ... Prior working experience in educational training content, Sharepoint, or LMS systems., Risk adjustment or quality. **Primary Location ** 2608 Se J… more
- Elevance Health (Atlanta, GA)
- …+ Consulting experience and/or MBA + Experience with Medicare Advantage STARS or Risk Adjustment + Six Sigma or formal process improvement experience preferred. ... for payment as part of consideration for employment. **Medical Director Clinical Programs (US)** + Job Family: MED >...Analyzes and interprets data in collaboration with data and analytics to identify opportunities. Partners with LOB (line of… more
- 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...to improve performance + Collaborate with the Senior Manager Analytics to identify reasons for off-track PCPs in Florida… more
- Bristol Myers Squibb (Madison, NJ)
- …analytics **Domain Knowledge:** + In-depth understanding of revenue forecasting and risk assessment analytics within the pharmaceutical industry + Strong ... Forecasting and Integration: Develop the strategy for revenue forecasting analytics solutions (including impact assessment, prioritization, and buy-vs-build decisions),… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Position:** Executive Director , RCO Business Management Office **Location** : Lawrenceville, New ... Jersey The Executive Director , RCO Business Management Office works closely with the...and collaborate with appropriate stakeholders (ie, Business Insights & Analytics ). **RCO Business Strategy** + Collaborate with the Senior… more
- Vatica Health (OH)
- …organizational and communication skills + Familiarity with Commercial, Medicare and Medicaid risk adjustment + Experience working with risk -bearing or ... Director of Provider Engagement The Director ...Payer & Provider Sales, Clinical Operations, Member Engagement and Analytics teams. + Serve as the point of contact… more
- reveleer (CA)
- …plans across all business lines greater control over their Quality Improvement, Risk Adjustment , and Member Management programs. With one transformative ... Senior Director , Engineering Operations Location: Glendale, CA or Remote...CA or Remote Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health… more
- Inspire Brands (Atlanta, GA)
- …embarked on an exciting journey at Inspire Brands to reimagine our Enterprise Risk and Internal Audit functions to align with Inspire's strategic objectives. The ... the organization. This role will report directly to the Director , Internal Audit - Technology who reports to the...Audit - Technology who reports to the VP, Enterprise Risk and Chief Audit Executive (CAE). In this highly… more
- Inspire Brands (Atlanta, GA)
- …as a trusted advisor to the organization. This role will report directly to the Director , Enterprise Risk & Internal Audit - Finance, who reports to the VP, ... exciting journey at Inspire Brands to reimagine our Enterprise Risk and Internal Audit functions to align with Inspire's...as needed + Adopt the use of technology and analytics to enhance and improve the efficiency of audits… more
- RELX INC (Philadelphia, PA)
- …you like to help drive the business strategy for an innovative information and analytics provider? About our Team:We are a team of strategic thinkers that work on ... LexisNexis. About the Role : The Innovation Office (IO) Director works closely with the IO Leader (EVP of...methods to solve problems and can work comfortably around risk and uncertainty + Process management and ownership -… more