- 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
- 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
- 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
- Providence (Portland, OR)
- …budgeting, projecting provider risk sharing and alternative payment amounts, and estimating risk adjustment and risk transfer payment amounts. + Key ... Advantage Bids and Benefit Modifications + Medical and Pharmacy Trends + RAF ( Risk Adjustment ) Performance + Network Performance + Mentor managers and analyst… 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
- 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
- Bristol Myers Squibb (Princeton, NJ)
- …strategic initiatives, and leading some Business Resilience capabilities. The Director , Business Resilience identifies new continuous improvement and strategic ... initiatives and works with the Head of Business Resilience and Director , Business Continuity Management & Continuous Improvement to prioritize and select initiatives… 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
- 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 (Princeton, NJ)
- …of challenge. **Overview** We are seeking a dynamic and experienced Director , HCP Marketing, Alternative Care Strategy Schizophrenia to spearhead marketing efforts ... leaders across Sales, Training, Medical, Market Access, Business Insights & Analytics (BI&A) and Patient Access Support Services (PASS) to ensure robust… more
- Elevance Health (Waukesha, WI)
- …+ Consulting experience and/or MBA + Experience with Medicare Advantage STARS or Risk Adjustment + Six Sigma or formal process improvement experience preferred. ... Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and implementing clinical programs… more
- RELX INC (Oklahoma City, OK)
- …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
- Bristol Myers Squibb (Summit, NJ)
- …and scalable global cell therapy manufacturing network. We are looking for a director to join our Process Robustness team within the Cell Therapy Technical ... The person will be responsible for leading cross-departmental teams, planning risk assessments and strategy development for cell therapy robustness activities. The… more
- 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 ... love to hear from you. Description As the Medical Director , Value-based Care you will play a pivotal role...patient programs, and care pathway implementation. + Working with analytics team, leverage insights from claims data to drive… 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
- Bristol Myers Squibb (Princeton, NJ)
- …at work and in their personal lives. Read more: careers.bms.com/working-with-us . The Director of Agile Sourcing - Enabling Services (ES) focused position plays a ... lead. They will ensure resources have required capabilities in sourcing, contracting, analytics , and are employing leading practices on a fit-for-purpose basis. This… more
- New York State Civil Service (New York, NY)
- …Agency Financial Services, Department of Title Virtual Currency Manager ( Director Financial Services Programs 1, SG-31) Occupational Category Financial, Accounting, ... controls/governance;* Financial analysis;* Accounting; and* The use of blockchain analytics software.Appointment method:Candidates must meet the minimum qualifications listed… more
- CVS Health (Columbus, OH)
- …treatment protocols for DSNP/MMP and other complex health populations to optimize risk adjustment , clinical quality, and care management* Actively participate in ... programs to ensure providers deliver appropriate, high-quality, cost-effective health risk assessments and other clinical services that are evidence-based* Work… 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