- Caliber Sourcing (Bothell, WA)
- …for setting strategy and prioritizing network level initiatives. The Associate Director , Operational Excellence leads and manages an operational excellence team to ... collaborative team environment that fosters decisive decision making, appropriate risk taking, and accountability. Build and strengthen continuous improvement… more
- Talent Connect Now (San Diego, CA)
- …other leaders to guide the successful collection, submission, and analysis of diagnostic risk adjustment data. Reviews coding and demographic files to ensure ... POSITION SUMMARY The Medical Director is responsible for the delivery of participant...quality assessment and performance improvement (QAPI) program. The Medical Director serves as the lead in the design of… more
- Bristol-Myers Squibb Company (Summit, NJ)
- …and in their personal lives. Read more: careers.bms.com/working-with-us. Position Summary Director of Validation, Cell Therapy Technical Operations reports to the ... Senior Director , Cell Therapy Technical Operations within the Cell Therapy...system. Promote innovative and efficient approaches to validation, incorporating risk -based elements and considerations unique to cell therapy production.… more
- Memorial Healthcare (Owosso, MI)
- JOB SUMMARY Reports to the Director . Has 24-hour responsibility for the management of nursing personnel, ancillary personnel, and patient care in the assigned ... environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences. Demonstrates knowledge of and supports… more
- UnitedHealth Group (Phoenix, AZ)
- …facility utilization, oversight and direction of Outpatient Care Management Services, Medicare Risk Adjustment Factor (RAF) education as well as HEDIS/STARS ... Optum AZ is seeking a AZ Network Medical Director to join our AZ Network team. Optum...(STARS, RAF, HEDIS, CHAPS/HOS etc) Experience with identifying Medicare risk adjustment and presenting findings to client/providers… more
- CVS Health (Chicago, IL)
- …Quality Improvement Utilization Management Network Management Health Plan Management Documentation/ Risk Adjustment Clinical Compliance & Policy Development This ... every day. Company: Oak Street Health Title: Senior Medical Director Location: Varies Role Description: The Senior Medical ...Director Location: Varies Role Description: The Senior Medical Director will join Oak Street Health at a critical… more
- UnitedHealth Group (Secaucus, NJ)
- …, Population Health, this key physician will provide expertise in population health, risk adjustment and quality. They will work collaboratively across a team ... (formerly Optum Tri-State NY) is seeking a Associate Medical Director , Network Partnerships to join our team in for...in teaching clinicians and clinical operations teams about Medicare Risk Adjustment , CMS STARs/HEDIS, and overall population… more
- Banner Health (Phoenix, AZ)
- …This role leads enterprise strategies to improve cost efficiency, quality outcomes, risk adjustment accuracy, and contract performance across lines of business ... Decision Making Work Shift: Day Job Category: Physicians The Senior Medical Director , Network Performance is a senior clinical executive responsible for advancing… more
- State of Indiana (Elkhart, IN)
- …the incident is substantiated, and develop recommendations to a Juvenile Court or County Director for disposition. Assess the level of risk to the child for ... develop briefing reports for the community child protection team. Develops "informal adjustment " plans with families and children to divert children from the… more
- St. Luke's University Health Network (Bethlehem, PA)
- …RN care managers, assistants, coordinators, utilization management staff, and director . Facilitates communication among all treatment team members. Manages length ... patient as healthy as possible in the outpatient setting, minimizing the risk of readmissions. Issues applicable state/federal regulatory notices as applicable ie.)… more
- Community Care Network (Rutland, VT)
- …programs. Maintain close communication with the consulting psychiatrist, Medical Director and/or nurse for input regarding medication compliance, side effects ... as alert required members of the staff of any changes in client adjustment which might suggest decompensation and a need for more aggressive intervention. Engage… more
- Suvida (Phoenix, AZ)
- …setting (primary care or Medicare Advantage Plans preferred) 2+ years of HEDIS or Risk Adjustment experience in supplemental data and chart reviews Knowledge of ... sensitive care caps. The Quality Care Analyst will also work with the Director of Quality to report low clinic engagement, opportunities for staff education, and… more
- Salvation Army (Centralia, WA)
- …: The Coordinated Entry Lead works with the Shelter Manager, Social Services director , hygiene center attendant, as well as Coordinated Entry Worker to provide ... services for persons who are homeless or at imminent risk of homelessness. Enter persons into the Homeless Management...person with a disability may request a modification or adjustment to the job or work environment in order… more
- Actalent (Baltimore, MD)
- …Manufacturing Engineering, Electrical Engineering specializations. Reporting to our tenured Director of Financial Operations, the Sr. Financial Operations Manager ... provide necessary reporting to leadership. Partner with executive leadership to support risk management and risk mitigation strategies. Lead direct reports with… more
- Elk Grove Unified School District (Elk Grove, CA)
- …writing. Maintain acceptable standards of physical health, energy and emotional adjustment to the job environment. Maintain consistent, punctual and regular ... questions or complaints concerning Section 504, please contact: Amreek Singh, Executive Director , School Supports/504 Coordinator - 9510 Elk Grove Florin Road, Elk… more
- California State University (San Luis Obispo, CA)
- …CAPS provides outreach, educational services, and campus consultations. Reporting to the Director of CAPS, this position provides a range of clinical services for ... business hours, or on weekends. Occasional holiday work and adjustment to normal working hours to meet special jobs...and security of people, animals, or property, or heightened risk of financial loss to Cal Poly or individuals… more
- Ellie Mental Health (Clinton Township, MI)
- …families. We offer regular one-on-one meetings with the clinical director , monthly team meetings, and ongoing professional development opportunities. Part-time ... local laws. A reasonable accommodation is a change or adjustment to a job or work environment that will...in mental health are tough jobs with a high risk of emotional fatigue and burnout. At Ellie, we… 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 the outcomes and operations of risk adjustment… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Director Risk Adjustment Prospective Operations & Risk Mitigation is the thought leader role responsible for ensuring the complete and ... role is a key strategic leader who initiates, develops and executes/implements the multi-product risk adjustment strategy set by the executive leaders of Risk… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …transform healthcare? Bring your true colors to blue. Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Associate ... Director of Risk Adjustment Data and Analytics is responsible for developing and executing the analytic plan for the Medicare and Merged Market segments. The… more
