- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Director of Risk Adjustment Location: Hybrid | Eagan, Minnesota Career Area: Special ... Services/Product Lines The Impact You Will Have The Director of Risk Adjustment is...to offer, please review our benefits page. Role Designation Hybrid Anchored in Connection Our hybrid approach… more
- Ankura (New York, NY)
- …operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also ... of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for clients. +… 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
- Centene Corporation (Austin, TX)
- …and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of ... assessments oversight and the monitoring work plans pertaining to Risk Adjustment . Partners with business areas to...holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will… more
- Ankura (New York, NY)
- …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside… more
- Elevance Health (Cincinnati, OH)
- …Capabilities and Experiences:** + Deep understanding of CMS-HCC and/or HHS-HCC risk adjustment methodologies strongly preferred. + Experience partnering with ... **Clinical Compliance Medical Director ** _Please note that per our policy t_...regulatory, compliance, and legal matters strongly preferred. + Certified Risk Adjustment Coder (CRC) or similar credential… more
- NASCO (Hartford, CT)
- …deployment of AI/ML (Machine Learning) and agentic models for payer analytics, risk adjustment , fraud detection, and personalized member engagement + ... **Overview** Under general direction, the Director of Data and AI Architecture will drive...and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance our… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …great teams and leaders across the BMS network. Will provide together with the Associate Director Risk Management and Director Quality Risk Management ... Stakeholder Partnering and Engagement: Support together with the Associate Director Risk Management the partnership with teams...Ability to travel 10-20 % as needed. **GPS_2025 GQ_2025** \#LI- Hybrid If you come across a role that intrigues… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** Reporting to the Director , Inspection Readiness, the Associate Director will help drive ... extensively with teams and leaders across the BMS network. The Associate Director will support BMS' GMP/GDP Inspection Readiness strategy by supporting on-site and… more
- Elevance Health (Waukesha, WI)
- …and claims integrity. This leader brings proven experience in payer and provider risk adjustment initiatives and possesses a deep understanding of end-to-end ... **Clinical Documentation and Claims Integrity Director ** **Location:** **Virtual:** This role enables associates to...services enablement company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing, and the… more
- Bristol Myers Squibb (Princeton, NJ)
- …This role is part of the Global Pricing organization and reports to the Director of PBM/Payer, Contract Strategy and Analytics. The Associate Director of ... of customer contracting opportunities including performing financial modeling, contract risk assessment analysis and preparation of legally approved contract… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …more: careers.bms.com/working-with-us . **Position Summary** Reporting to the Senior Director , Competitive Compliance, the Associate Director , Vendor Audits, ... with the third-party service provider conducting audits for BMS. The Associate Director also acts as a liaison with External Manufacturing, the GMP/GDP audit… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Director , Global Biopharmaceutical Stability Operations drives integration of process ... for the implementation and improvement of Data Integrity requirements and Quality Risk Management tools. This position is also accountable for the execution of… more
- United Airlines (Chicago, IL)
- …root causes and facilitating strategic adjustments to enhance business processes and risk management. Additionally, the Senior Manager - IT and Cyber Audit will ... oversee the development, implementation, and operation of a new digital risk assurance program, managing both international and US-based resources. **Audit Program… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …patients faster. We are seeking an experienced and highly motivated Associate Scientific Director to join the Integrated Technology and Engineering group in the Drug ... application of predictive modeling approaches-from first-principles mechanistic models to hybrid , molecular, machine learning techniques to digital twins -across… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …Read more: careers.bms.com/working-with-us . **Position Summary** Reporting to the Senior Director , Competitive Compliance, the Director , GMP and GDP Audits ... and implementing a strategic global audit program to proactively identify risk areas while aligning with company objectives and regulatory requirements. They… more
- Bristol Myers Squibb (Princeton, NJ)
- …Read more: careers.bms.com/working-with-us . Position reports to the Executive Director of Medical Neuropsychiatry Medical Communications within Global Medical ... and execution of BMS Medical Neuropsychiatry Communications portfolio. The Director of Medical Neuropsychiatry Medical Communications will ensure the disclosure… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Description:** The role of Associate Director of US Commercial Regulatory Affairs requires the ability to apply ... complex scientific and expert regulatory advice and risk assessment for the development of promotional campaigns and...assigned facility. Site-by-design roles may be eligible for a hybrid work model with at least 50% onsite at… more
- Bristol Myers Squibb (Devens, MA)
- …better place than here at BMS with our Cell Therapy team. The **Associate Director ,** **Process Implementation Lead l** eads the transition of hybrid automated ... cross-functional and matrix teams for technical transfer of automated and hybrid cell therapy manufacturing processes into Devens operations. + Plan, coordinate,… more
- Bristol Myers Squibb (Devens, MA)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Senior Director , Cell Therapy Global Product Quality Lead ( Sr. Dir. CT- ... throughout the product lifecycle . He/She m anage s product quality risk throughout the product lifecycle, including oversight of process and analytical lifecycle… more