- CVS Health (Chicago, IL)
- …Quality Improvement Utilization Management Network Management Health Plan Management Documentation/ Risk Adjustment Clinical Compliance & Policy Development This ... with heart, each and every day. Company: Oak Street Health Title: Senior Medical Director Location: Varies Role Description: The Senior Medical Director… more
- Caliber Sourcing (Bothell, WA)
- …the organization, including building and maintaining collaborative working relationship with senior leaders and providing expert guidance in the understanding and ... for setting strategy and prioritizing network level initiatives. The Associate Director , Operational Excellence leads and manages an operational excellence team to… 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 ... Department Name: Clinical Decision Making Work Shift: Day Job Category: Physicians The Senior Medical Director , Network Performance is a senior clinical… more
- Bristol-Myers Squibb Company (Summit, NJ)
- … 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. Lead,… 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
- 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
- Actalent (Baltimore, MD)
- Actalent Services is hiring a Senior Financial Operations Manager for a permanent leadership role serving as an internal Financial Controller over the financial ... Manufacturing Engineering, Electrical Engineering specializations. Reporting to our tenured Director of Financial Operations, the Sr. Financial Operations Manager… 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 ensure and implement effective prevention,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Bring your true colors to blue. Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Associate Director ... analytic plan for the Medicare and Merged Market segments. The Associate Director of Risk Adjustment Data and Analytics will oversee the reporting, analytics… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and Analytics. This role ... will manage the process of developing and maintaining the risk adjustment strategic plan. This position will track and monitor the key performance indicators of… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …teams and leaders across the BMS network. This position will report into the Senior Director , Risk Management. **Key Responsibilities:** + Provide strategic ... executed in these processes. + In partnership with the Senior Director , Risk Management, champion...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Bristol Myers Squibb (Princeton, NJ)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . ** Senior Director , Oncology Commercialization & Executive Communications** Reports ... Executive Director , Oncology & Cell Therapy Commercial Communications The Senior Director of Oncology Commercialization and Executive Communications will… more
- Wells Fargo (Charlotte, NC)
- **Model Risk Management (MRM)** is responsible for the enterprise-wide oversight and risk management of models across all phases of the model lifecycle. This ... identification, development, validation, implementation, usage, performance monitoring, documentation, and risk reporting of models. The team plays a critical role… more
- Scripps Health (San Diego, CA)
- This Senior Director position is eligible to participate in the Director Incentive Plan. Position is in La Jolla and does require residence in San Diego ... geriatrics, obstetrics and gynecology, and gastroenterology. Join Scripps as Senior Director , Revenue Cycle where you will...accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs… more
- Bristol Myers Squibb (Devens, MA)
- …approach to perform GLP environmental fate/effects studies and environmental risk assessments according to appropriate international regulatory guidelines. This role ... teams to deliver on-time and on-budget GLP studies and environmental risk assessments necessary to support successful clinical trials and drug registrations… more
- RELX INC (Alpharetta, GA)
- … at the link below. https:// risk .lexisnexis.com/insurance About the Role The Senior Director , Market Intelligence will serve as the architect and executive ... About the Business LexisNexis Risk Solutions is the essential partner in the...Vertical, this highly visible position oversees a team of Senior Market Managers and interfaces regularly with Product Management,… more
- Bristol Myers Squibb (Princeton, NJ)
- …Data domains. Reporting to the Senior Vice President of R&D BI&T, the Senior Director will manage a portfolio of over 300 software applications critical to ... & Technology, and is a key member of the R&D BI&T leadership team. The Senior Director will interface regularly with other IT and R&D stakeholders at all… more
- Santander US (New York, NY)
- …Talk to You!** **The Difference You Make:** The VP, Market Risk , Product Control Senior Associate will support the Executive Director of Market Risk IPV ... VP, Market Risk , Product Control Senior Associate Country:...VP will assist in conducting IPV analyses, generating valuation adjustment metrics, and reviewing asset levelling reports. + Perform… more
- Bristol Myers Squibb (Princeton, NJ)
- …and thrive through opportunities uncommon in scale and scope. **Position Summary:** The Senior Director , Regional Facilities Operations & EHS will lead a ... BMS sites across Central New Jersey. This role will collaborate with senior leaders across Manufacturing, Product Development, EHS, Cell Therapy, R&D, and Real… more
- Bristol Myers Squibb (Cambridge, MA)
- …areas by leveraging Quantitative Systems Pharmacology (QSP) modeling to de- risk and optimize development from First-in-Human (FIH) through Proof-of-Concept (PoC) ... plus incentive cash and stock opportunities (based on eligibility). + For Associate Director level, the starting compensation for this job is a range from… more
