- Centene Corporation (Austin, TX)
- …and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of ... assessments oversight and the monitoring work plans pertaining to Risk Adjustment . Partners with business areas to ensure and implement effective prevention,… more
- 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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …any legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director of Risk Adjustment Location: Hybrid | Eagan, Minnesota ... Career Area: Special Services/Product Lines The Impact You Will Have The Director of Risk Adjustment is a key leader responsible for shaping risk … more
- Providence (Portland, OR)
- …work mostly remotely in the states of WA, OR and CA. **The Role:** As the Director of Risk Adjustment and Strategic Accounts at Providence Health Plan, you ... will be the cornerstone of our strategic vision. You will oversee risk adjustment programs, spearhead provider education, and enhance engagement to support… more
- Molina Healthcare (St. Petersburg, FL)
- …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and ... **Job Description** **Job Summary** The Director , Clinical Data Acquisition is responsible for the...that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation experience. +… more
- University of Utah Health (Murray, UT)
- …responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health plan's ... risk adjustment program. + This role is...and analyses for tracking and reporting at the department, senior leadership, and provider level. + RAD-V audit experience… more
- Scripps Health (San Diego, CA)
- 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 ... team and the results of our strategic focus. The Senior Director role is critical to building...accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs… more
- Bristol Myers Squibb (New Brunswick, NJ)
- … Management strategic and tactical oversight. This position will report into the Senior Director , Risk Management. **Key Responsibilities:** + Proactively ... personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Senior Manager, Operational Risk Management will be...the BMS network. Will provide together with the Associate Director Risk Management and Director … more
- Bristol Myers Squibb (Devens, MA)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Senior Director , Cell Therapy Global Product Quality Lead ( Sr. ... GRS CMC to develop and execute product quality strategies . **Key responsibilities :** The Senior Director , Cell Therapy Global Product Quality Lead wil ll ead a… 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
- Centene Corporation (Nashville, TN)
- …**Remote Opportunity** **Ideal candidate will have background in HEDIS Operations and Risk Adjustment with experience in clinical data analysis, claim and ... + Present results of improvement efforts and ongoing performance measures to senior management. * Research and incorporate best practices into operations. + Organize… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Position Title:** ** Senior Analyst, Financial Risk Management** **Department: Global ... Princeton, NJ** **Summary:** Working within Corporate Treasury and reporting to the Director of Financial Risk Management, this role supports the execution… 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 (Daytona Beach, FL)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... put health first** Job Description Summary 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
- 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...initiatives + Champion our senior -focused primary care strategic vision and initiatives and foster… more
- Truist (Charlotte, NC)
- …States of America) **Please review the following job description:** The Managing Director , Accounting - Technology, Data, Operations will play a critical role within ... Executive Leadership, the BU CFO organization, other members of the Senior Leadership Team, external auditors, and regulatory agencies. Proactively provide counsel… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** Reporting to the Senior Director , Competitive Compliance, the Director , GMP ... and external sites, and leveraging technology to standardize audit reporting. The Director will collaborate with various departments and senior management,… more
- Elevance Health (Waukesha, WI)
- …and claims integrity. This leader brings proven experience in payer and provider risk adjustment initiatives and possesses a deep understanding of end-to-end ... **Clinical Documentation and Claims Integrity Director ** **Location:** **Virtual:** This role enables associates to...services enablement company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing, and the… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** Reporting to the Senior Director , Competitive Compliance, the Associate Director , ... with the third-party service provider conducting audits for BMS. The Associate Director also acts as a liaison with External Manufacturing, the GMP/GDP audit… more
- TD Bank (New York, NY)
- …revolving lines of credit, term loans and commercial paper backup facilities. As a Senior Manager covering CIB Credit in the Product Control Team, you will: + ... the P&L, Attribution, Balance Sheet, and Independent Pricing Verification and Valuation Adjustment processes for TD Securities. + Lead a small, high performing team… more
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