- 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 the outcomes and operations of risk adjustment… 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
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** ... 5:00 pm (United States of America) **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment Services is a key leader for commercial… 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 ... the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1)...drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially… more
- Dignity Health (Bakersfield, CA)
- …ensure maximum reimbursement from health plan payors. The role reports directly to the Risk Adjustment Population Health Director and plays a critical role ... **Responsibilities** This position is remote.** **Position Summary:** The Risk Adjustment Coding Training Specialist develops and executes comprehensive training… more
- Henry Ford Health System (Troy, MI)
- …Cycle processes within value-based reimbursement models and initiatives. Reporting to the Director , Risk Adjustment and Value-Based Payment, the Program ... Manager is responsible for complex program management, strategic planning, and process improvement activities. The leader acts with a high degree of autonomy focusing on improving Revenue Cycle processes, Population Health program management, Accountable Care… 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)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . The Associate Director , RBQM - HOCT, ICN will mainly be responsible for developing the ... critical to quality (CtQ) data, processes, and vendors, demonstrating effective risk and issue management. Provide quality and compliance consultation to clinical… more
- Bristol Myers Squibb (Princeton, NJ)
- …Controls Function (BCF) is a key contributor to the Company's overall enterprise risk management strategy. The BCF is a global organization with resources based ... in Princeton, NJ. The BCF is a second line risk management function (in accordance with the Institute of...leads and senior management throughout the Company. The Associate Director , US Commercial & OTC Process Control Advisor within… more
- Hensel Phelps (Greeley, CO)
- …planning and extends throughout the life of the property. Position Description: The Director of Finance (Finance Director ) oversees all financial aspects of ... company as well as possible risks and investments. The Director of Finance is a reliable leader with broad...company's finance IT system. + Provides strategic direction regarding risk management and compliance. + Set targets for and… more
- Bristol Myers Squibb (Princeton, NJ)
- …Squibb (BMS) is seeking an exceptional leader for the position of Executive Director , Business Insights and Technology (BI&T) Procurement. This role is a unique ... supply chain through productivity initiatives and strong partnerships. As the Executive Director , BI&T Procurement, you will be responsible for the development and… more
- Bristol Myers Squibb (San Diego, CA)
- …RayzeBio aims to be the global leader in radiopharmaceuticals . The Executive Director , Head of Pharmacovigilance - Safety Science, is responsible for overseeing all ... of safety science to protect patient health and optimize product benefit- risk profiles. The ED works cross-functionally with clinical, regulatory, medical affairs,… more
- CenterWell (Des Moines, IA)
- …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical Documentation… more
- WelbeHealth (Los Angeles, CA)
- …and financial analysis. This role will focus on overseeing capitation rates, risk adjustment methodologies, claims forecasting, and Incurred But Not Reported ... Python, R), Excel, and financial modeling tools + Deep understanding of CMS risk adjustment , Medicaid rate-setting, and Medicare Advantage/Part D payment models… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …from a New England state (ME, VT, NH, MA, CT, RI).** Reporting to the Director of Grants and Contracts, the Assistant Director of Post-Award (AD Post-Award) is ... the G&C leadership team, the AD Post-Award will work closely with the Assistant Director (AD) of Pre-Award and AD of Agreements to ensure efficient and effective… more
- ZoomCare (Portland, OR)
- …initiatives. + Strong understanding of healthcare systems, value-based care models, and risk adjustment . + Proven track record of driving change, improving ... fast-moving team of superstars! ZoomCare is seeking a **Medical Director of Primary Care** to join our team! The...support clinical teams on proper coding techniques to optimize risk - adjustment and reimbursement. + Analyze coding trends… more
- Scripps Health (San Diego, CA)
- …Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs instructions and education ... 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 Invest,… more
- CenterWell (Daytona Beach, FL)
- …(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** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining… more
- CenterWell (Jacksonville, FL)
- …(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...coaching initiatives are precise + Identify critical issues for high- risk patients during case reviews & other forums, and… more
- Bristol Myers Squibb (Princeton, NJ)
- …personal lives. Read more: careers.bms.com/working-with-us . **Bristol Myers Squibb** ** Director , Executive Communications, Cell Therapy** Reports to Executive ... & Cell Therapy Commercialization Communications, Corporate Affairs **Role:** The Director , Executive Communications, Cell Therapy is responsible for the overall… more
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