- Martin's Point Health Care (Portland, ME)
- …certified as a "Great Place to Work" since 2015. Position Summary The Senior Director of Risk Adjustment Operations in our Health Plan is responsible the ... maintenance, monitoring and oversight of Medicare Risk Adjustment initiatives and operations. The Senior Director is also responsible for all aspects… more
- Henry Ford Health System (Troy, MI)
- The Director of Risk Adjustment & Value Based Payment is an unparalleled opportunity with Henry Ford Health. This pivotal role spearheads strategic endeavors ... navigating the transition to value-based care. Join us in revolutionizing healthcare delivery! The Director of Risk Adjustment and Value Based Payment is… more
- CVS Health (Jackson, MS)
- …deliver solutions to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (Medicare) will be responsible for ... act independently when working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the Gulf States Medicare… more
- CVS Health (Atlanta, GA)
- …deliver solutions to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (Medicare) will be responsible for ... act independently when working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the Gulf States Medicare… more
- Providence (Portland, OR)
- …budgeting, projecting provider risk sharing and alternative payment amounts, and estimating risk adjustment and risk transfer payment amounts. + Key ... Benefit Modifications + Medical and Pharmacy Trends + RAF ( Risk Adjustment ) Performance + Network Performance +...key analyses with appropriate level of detail analysis for senior leaders. + Manage vendor and consulting relationships. +… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …on real-world evidence, and creating hope for all facing illness. The Senior Director , Commercial Regulatory Affairs, is responsible for the development ... pertain primarily to marketed products in US and Canada. In addition, the Senior Director , Commercial Regulatory Affairs, in collaboration with Head, Regulatory… more
- Scripps Health (San Diego, CA)
- …Coding, Clinical Documentation Integrity (CDI) and Health Information Management HIM. The Senior Director manages the staff responsible for hospital and ... of industry best practices in technology and workflow. The Senior Director will use these skills and...accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. . Directs… 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...understand when to address issues firsthand or escalate to senior leadership for guidance + Creating and socializing metrics… more
- Bristol Myers Squibb (Trenton, NJ)
- …. The Real-World Data Analytics, Innovation & Partnerships (RWDAIP) Senior Director , Development Real-World Data (RWD) Strategy is ... excellent communication skills to establish strong links with strategic senior leaders across the organization. Success in this role...databases / platforms is streamlined and secure to mitigate risk + Design and implement a global RWD governance… more
- reveleer (CA)
- Senior Director , Engineering Operations Location: Glendale, CA or Remote Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to ... all business lines greater control over their Quality Improvement, Risk Adjustment , and Member Management programs. With...We are looking for a highly motivated and experienced Senior Director of Engineering Operations to lead… 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 and implement medical management and performance improvement… 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
- Bristol Myers Squibb (Summit, NJ)
- …both at work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Director will be the clinical lead to progress multiple early ... with Global Development Operations/Global Compliance Group to develop asset level risk management plan, resolves issues with Quality/Clinical Scientists, and raises… more
- Universal Health Services (Reno, NV)
- …the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Senior Director , Performance Improvement provides strategic leadership in ... strategies within the Prominence Health umbrella. Emphasis will be centered around risk -based contract performance, risk adjustment , and quality measurement… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …escalation of critical issues. + Exceptional capability to build alignment with senior level business partners. + Demonstrated strong ability to influence areas not ... and act on decisions while balancing speed, quality, and risk . + Ability to work in a matrix environment...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Bristol Myers Squibb (Warren, NJ)
- …the Cell Therapy Attribute Sciences group, the energetic and motivated Sr. Director will have overall responsibility for leading the development of scientific ... within and across functions. + Ability/willingness to identify and surface both risk and opportunity + Extensive experience in mammalian cell culture techniques,… more
- Bausch Health (Bothell, WA)
- …effective aesthetic care options to consumers and physicians alike. The Sr. Director of Global Product Experience is responsible for leading Solta's Global product ... working within a rigorous quality system environment (ISO, FDA cGMP/QSR, risk management, regulatory affairs, design control) + Previous experience with and… more
- Bristol Myers Squibb (Princeton, NJ)
- …with Global Development Operations/Global Compliance Group to develop asset level risk management plan, resolves issues with Quality/CS, and raises to DT ... of multiple clinical trials (eg significant experience as a senior clinical leader), and exhibits all of the following...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… 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)
- …strategic business development activities. You'll Be Responsible For: + Collaborating with the Senior Director of Specialty Markets to craft and execute a ... About the Business: LexisNexis Risk Solutions is the essential partner in the...State and Local Government market. + Collaborating with the Senior Director of Specialty Markets and cross-functional… more