- 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 (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
- 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 ... programs. **Qualifications** **Minimum Qualifications:** - 3-5 years of experience with risk adjustment coding and/or medical coding - Bachelor's degree or… more
- Mount Sinai Health System (New York, NY)
- …(2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system. This Medical Director must be effective at ... improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI,...population health goals including access, quality, utilization and accurate risk adjustment with a group of practices… more
- ZoomCare (Portland, OR)
- …to become part of our dedicated, fast-moving team of superstars! ZoomCare is seeking a ** Medical Director of Primary Care** to join our team! The Medical ... initiatives. + Strong understanding of healthcare systems, value-based care models, and risk adjustment . + Proven track record of driving change, improving… more
- CenterWell (Daytona Beach, FL)
- …market performance (clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational ... us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical...and coaching initiatives are precise *Identify critical issues for high- risk patients during case reviews & other forums, and… more
- CenterWell (Jacksonville, FL)
- …market performance (clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational ... community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical...coaching initiatives are precise + Identify critical issues for high- risk patients during case reviews & other forums, and… more
- Deschutes County (Bend, OR)
- Medical Director , On-Call - Juvenile Community Justice Print (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/4976783) Apply Medical ... of the Juvenile Community Justice department is to reduce risk , repair harm and create opportunity. The juvenile division...consider joining our talented team. ABOUT THE JOB: The Medical Director provides medical oversight… 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
- Molina Healthcare (Racine, WI)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare,… more
- Banner Health (Phoenix, AZ)
- …Clinical Decision Making **Work Shift:** Day **Job Category:** Physicians The Senior Medical Director , Network Performance is a senior clinical executive ... This role leads enterprise strategies to improve cost efficiency, quality outcomes, risk adjustment accuracy, and contract performance across lines of business… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . Position reports to the Director of Medical Communications within WW Medical ... and Payers in accordance with local regulations. **Key Responsibilities:** The Associate Director of Medical Communications is accountable for the following: **… 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 (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… 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 ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… 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
- 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
- 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
- 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
- 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...industry standard guidelines. * Provides input to coding and medical record documentation guidelines to assure compatibility and compliance… more
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