- Restoration Management Company (Anaheim, CA)
- …and apply in their daily activities the following company CORE VALUES: Safety, Quality , Humility, Integrity, and Team Spirit. These, in addition to the requirements ... work orders. This position reports directly to the Regional Director and interfaces with other departments within the company...to adjusters or clients Tracks project plans and makes adjustment , as and where needed, to stay on track… more
- Actalent (Arlington, TX)
- Job Title: Program Director for Government Automation Programs Job Description We are seeking a highly experienced leader to oversee complex government automation ... EAC development and executive-level reporting. Conduct formal reviews and risk assessments to drive accountability and performance. Collaborate with leadership… more
- Optum NV (Las Vegas, NV)
- …accurate diagnostic codes in order to accurately reflect risk adjustment (RAF) Preferred Qualifications: 2+ years Quality Management experience Experience ... Optum NV is seeking a Network Medical Director to join our team in Las Vegas,...partner interfacing with Corporate level support divisions, to include: Quality , Risk Adjustment , Cost and… more
- Pioneer Human Services (Spokane, WA)
- …Services Division of Pioneer Human Services by ensuring the provision of quality and cost effective behavioral health services under our residential treatment ... practice for individuals experiencing barriers to housing stability with verified risk factors. Supportive Housing services help individuals who are homeless,… 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...scripting, macros) preferred + Demonstrated attention to detail, delivering quality results and operating collaboratively as part of a… 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...as an SME to guide CareFirst's VP of Enterprise Quality & Risk Adjustment , Finance,… 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 ... quality and overall impact of the company's risk adjustment program, including reporting KPIs on...collaboration cross all relevant internal departments/positions that intersect with risk adjustment ( Quality , Provider Relations,… more
- Blue KC (Kansas City, MO)
- …with adoption financial assistance** **Employee discount program** **Job Description Summary:** The Director , Government Programs Risk Adjustment & Audit ... risk adjusted revenue optimization strategy and oversight of Government Programs Risk Adjustment programs. **Job Description** + Interface with Blue KC… more
- Datavant (Honolulu, HI)
- …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP...updates, etc.). + Identify project risks that impact the quality of our product and services delivery to clients,… 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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …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...to multi-task and manage multiple deliverables while demonstrating high quality of work and meeting agreed upon deadlines +… more
- Commonwealth Care Alliance (Boston, MA)
- … Director of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and ... of data systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category (HCC) revenue programs. This… more
- Datavant (Little Rock, AR)
- …to realize our bold vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the ... manager will collaborate with other managers and the department director to set strategy and mobilize the team to...and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Director , Quality Risk Management will drive consistent Global ... Leadership on Quality Risk Management (QRM), the Risk...BMS network. This position will report into the Senior Director , Risk Management. **Key Responsibilities:** + Provide… 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
- Mount Sinai Health System (New York, NY)
- …CDQI, who will (1) be responsible for driving key population health goals including access, quality , utilization and accurate risk adjustment with a group of ... practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment...hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment … more
- Bristol Myers Squibb (Indianapolis, IN)
- …The Associate Director of Chemistry, Manufacturing & Controls (CMC) - Quality Assurance develops and drives Quality (manufacturing and analytical) strategies ... be assigned. + Member of CMC Development Teams providing Quality (QA) input from pre-clinical to end of product...+ Work with CMC Teams to conduct compound/product specific risk assessments, as required, for all aspects of the… more
- Amazon (Tempe, AZ)
- …About the Role: We are seeking an experienced professional to join our Risk Mitigation, Escalations Reduction, and Quality Assurance (REs-Q) organization as a ... brands worldwide. The role represents a unique opportunity to shape risk management practices while protecting Amazon's marketplace integrity through data-driven… more
- Commonwealth of Pennsylvania (PA)
- …experimental designs or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment, and prevention of mental ... Licensed Psychologist Director - North Central Secure Treatment Unit -...or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment, and prevention… more
- University of Utah (Salt Lake City, UT)
- …**Open Date** 07/09/2025 **Requisition Number** PRN42423B **Job Title** Associate Director , Student Services **Working Title** Associate Director , Student ... Utah seeks a highly organized, motivated, and collaborative leader to serve as the Associate Director of Student Support ( ADSS ), As part of the Office of the Dean… more
