- Bristol-Myers Squibb Company (New Brunswick, NJ)
- …at work and in their personal lives. Read more: careers.bms.com/working-with-us. The Field Medical organization embodies our medical mission to be recognized as ... stakeholders and the healthcare community, driving scientific exchange to enhance medical education, data generation, insight generation and patients' access to… more
- Restoration Management Company (Anaheim, CA)
- …of job(s) via work orders. This position reports directly to the Regional Director and interfaces with other departments within the company as required. Key ... and recommends further work to adjusters or clients Tracks project plans and makes adjustment , as and where needed, to stay on track and meet contract schedules.… more
- Optum NV (Las Vegas, NV)
- Optum NV is seeking a Network Medical Director to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians ... from a high touch model of care. The IPA Medical Director in NV will report to...oversight and direction of Outpatient Care Management Services, Medicare Risk Adjustment Factor (RAF) education as well… 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
- Chicopee Public School District (Chicopee, MA)
- …Agreement SALARY: Per Unit A Collective Bargaining Agreement REPORTS TO: Director of Counseling OBJECTIVE: To deliver comprehensive substance use prevention and ... assessments and provide appropriate services or referrals for students experiencing or at risk for alcohol and other drug use concerns. 4. Coordinate services with… more
- Netflix (Los Angeles, CA)
- …deal contexts (eg, physical production department head agreements; casting director agreements; line producer agreements; short term production services agreements; ... VFX, Business Affairs, Labor, Finance, Health and Safety, Tax, Real Estate, Risk Management teams. Exercise sound judgment and curiosity regarding matters of first… more
- Bristol-Myers Squibb Company (Chicago, IL)
- … Director and works collaboratively across matrix of Commercial, Medical , Access organizations, for example Scientific Engagement Partner (SEP), and Field ... utilization of new digital capabilities and tools such as Medical on Call and CE^3. We are looking for...by your state of residence; and 3) a driving risk level deemed acceptable by the Company. Key competencies… more
- Pioneer Human Services (Spokane, WA)
- …Eligible after 30 days of full-time employment (minimum of 30 hours/week): Medical Flexible spending Dental Vision Additional coverage after 60 days: Life AD&D ... practice for individuals experiencing barriers to housing stability with verified risk factors. Supportive Housing services help individuals who are homeless,… more
- Ellie Mental Health (Bethlehem, PA)
- …and exceed goals Coordinate services with case managers, families, work personnel, medical personnel, other Ellie staff, and school staff as needed Attend and ... will be under the general direction of the Clinical Director Learn more about our amazing company at www.elliementalhealth.com!...local laws. A reasonable accommodation is a change or adjustment to a job or work environment that will… 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...offer comprehensive package of benefits including paid time off, medical /dental/vision insurance, 401(k), and a suite of well-being benefits… 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
- Corewell Health (Grand Rapids, MI)
- Job Summary The Director Risk Adjustment Prospective...7 years of relevant experience in Risk Adjustment in a health plan or medical ... strategic leader who initiates, develops and executes/implements the multi-product risk adjustment strategy set by the executive...member disease burden after the point of care.3. Mitigate risk by identifying opportunities in the medical … 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...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… 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
- Tufts Medicine (Burlington, MA)
- …as other technical requirements. 4. Summarizes and interprets audit findings for Director Risk Adjustment Operations/NEQCA Leadership; tracks audit results ... overall provider documentation as it pertains to coding and risk adjustment guidelines. Reviews medical ...identifies trends, and recommends corrective actions. 5. Collaborates with Director Risk Adjustment Operations/NEQCA staff… 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...strategies and tactics designed to ensure complete and accurate medical record documentation and coding. The Program Manager will… more
- Datavant (Little Rock, AR)
- …healthcare actuarial or medical economics departments with a focus on risk adjustment valuation and modeling + Experience creating and communicating ... vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping...manager will collaborate with other managers and the department director to set strategy and mobilize the team to… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Director , Quality Risk Management will drive consistent Global ... key QRM processes within the GxPs (GMP, GDP, GLP, Medical Devices, Cell Therapy, GCP & GVP) across the...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
- 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
