- Ankura (New York, NY)
- …and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice and ... solutions to complex litigation, enforcement, and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's… more
- Point32Health (Canton, MA)
- …with our corporate and business division goals. This position will report to the Director of Risk Adjustment Strategy, Operations and Quality Assurance. ... member health conditions. The Manager will build relationships and drive risk adjustment engagement with senior leaders at contracted provider organizations.… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . Job Description The Associate Director , RBQM - HOCT, ICN will mainly be responsible for developing ... critical to quality (CtQ) data, processes, and vendors, demonstrating effective risk and issue management. Provide quality and compliance consultation to clinical… more
- Scripps Health (San Diego, CA)
- *This Senior Director position is eligible to participate in the Director Incentive Plan.* *This position is in La Jolla and requires residence in San Diego ... County. * The* Senior Director , Revenue Cycle - Clinical Documentation...ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment /HCC principles. * Strong technical proficiency… more
- RELX INC (Alpharetta, GA)
- … at the link below. https:// risk .lexisnexis.com/insurance About the Role As the Senior Director of Marketplace and Lead Solutions, you will lead the ... About the Business LexisNexis Risk Solutions is the essential partner in the...and drive thought leadership through innovative market messaging. The Senior Director , Marketplace and Lead Solutions will… more
- The Salvation Army (New York, NY)
- Overview The Executive Director provides overall leadership, management, and strategic oversight for The Salvation Army's 211-room Active Adult Living Facility ... needs in the name of Jesus Christ without discrimination. The Executive Director manages all aspects of marketing, occupancy, operations, and resident services. This… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Senior Director , Program Management Lead (individual contributor) is ... systems. Timelines should include scenario plans that actively manage risk , evaluate alternative development strategies as well as acceleration opportunities… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Senior Director , PM Systems and Infrastructures is responsible for ... are supported by integrated, scalable, and fit-for-purpose tools and processes. The Senior Director oversees key platforms-including ePlan (Planisware) for the… more
- Ankura (Lexington, NY)
- …assessment. + Apply innovative techniques to healthcare engagements including those related to Risk Adjustment . + Expand and build new products in a ... an Industry thought leader in healthcare topics like predictive analytic applications, risk adjustment , and value-based care. + Develop, supervise, and motivate… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior Director of Coding is a strategic and operational leader responsible for overseeing all aspects of professional and hospital ... operational efficiency for both inpatient and outpatient services. The Senior Director will lead a multidisciplinary team,...a multi-entity or academic health system. - Familiarity with risk adjustment , HCC coding, and value-based care… more
- Bristol Myers Squibb (Princeton, NJ)
- …at work and in their personal lives. Read more: careers.bms.com/working-with-us . ** Senior Director of Research Engineering** Location: **Remote or Hybrid in ... sites (strong preference for Cambridge MA)** **Job Description:** The Senior Director of Research Engineering is a...Research Engineering. + Collaborate closely with IT to perform risk assessments on new or existing cloud architectures and… more
- Bristol Myers Squibb (Princeton, NJ)
- …personal lives. Read more: careers.bms.com/working-with-us . **Position Summary:** The Senior Director , Global Commercial Strategy Oncology, BioNTech/Solid Tumor ... management for pipeline and in-market assets, including scenario planning and risk mitigation. + Collaborate with Portfolio Strategy & Operations, Market Foresight,… more
- Molina Healthcare (MI)
- …Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight ... of all chart collection for Risk Adjustment , RADV, or ...risk programs. + Communicates with the Molina Plan Senior Leadership Team, including the Plan President, Chief Medical… more
- Bristol Myers Squibb (Cambridge, MA)
- …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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …team responsible for maintaining, executing, and evaluating initiative impacts using the risk adjustment and quality analytics models across ACA Commercial, ... and day-to-day management of data submissions for ACA Commercial, Medicare, and Medicaid risk adjustment and quality programs. * Design and execute complex… more
- Mount Sinai Health System (New York, NY)
- …adjustment with a group of practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system. This ... drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially...Based on experience and demonstrated skill set, could consider Senior Medical Director level and associated compensation… more
- CenterWell (Tallahassee, FL)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety...Responsible for performance management and strategy development for PCO risk adjustment at the division and market… more
- CenterWell (Hampton, VA)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our...initiatives. + Champion our senior -focused primary care strategic vision and initiatives and foster… more
- ChenMed (Miami, FL)
- …processes + Comprehensive knowledge of Medicare program including but not limited to Risk Adjustment processes and Fee For Service. + Knowledge of applicable ... need great people to join our team. The Associate Director , Revenue Cycle Management (RCM) Optimization manages and organizes...incumbent also serves as a subject matter expert on risk - adjustment and medical economics to aid in… more
- Bristol Myers Squibb (Princeton, NJ)
- …benchmarks. As a senior leader within Global Development Operations (GDO), the Director GTL is responsible for critical decision making, risk management, and ... their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Director , Global Trial Lead (GTL) is accountable for the strategic… more