- 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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial ... Impact You Will Have We are looking for a Director of Risk Adjustment and...analytics, and results to a variety of stakeholders, including senior staff and executive leadership. * Understands the strategy… 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
- Point32Health (Canton, MA)
- …with our corporate and business division goals. This position will report to the Director of Risk Adjustment Strategy, Operations and Quality Assurance. ... member health conditions. The Manager will build relationships and drive risk adjustment engagement with senior leaders at contracted provider organizations.… more
- Bristol Myers Squibb (Princeton, NJ)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . Third-Party Risk Management (TPRM) is essential to safeguard patient safety, ensure ... Myers Squibb's reputation by proactively identifying, assessing, and mitigating risk across a complex global supplier network. We seek...a complex global supplier network. We seek an Executive Director with the vision to shape global strategy, the… more
- Bristol Myers Squibb (New Brunswick, 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
- Scripps Health (San Diego, CA)
- *This Senior Director position is eligible to participate in the Director Incentive Plan.* *This position is in La Jolla and requires residence in San Diego ... County. * The* Senior Director , Revenue Cycle - Clinical Documentation Integrity*provides strategic leadership and operational oversight for systemwide*Coding,… more
- J&J Family of Companies (Spring House, PA)
- …States of America **Job Description:** Johnson & Johnson is recruiting for a Senior Director , Data Management and Central Monitoring located in either Spring ... tomorrow, and profoundly impact health for humanity. Learn more at https://www.jnj.com/. The Senior Director , Data Management and Central Monitoring (DM&CM) is a… more
- RELX INC (Alpharetta, GA)
- … at the link below. https:// risk .lexisnexis.com/insurance About the Role As the Senior Director of Marketplace and Lead Solutions, you will lead the ... About the Business LexisNexis Risk Solutions is the essential partner in the...and drive thought leadership through innovative market messaging. The Senior Director , Marketplace and Lead Solutions will… more
- Bristol Myers Squibb (Cambridge, MA)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Senior Director , Program Management Lead (individual contributor) is ... systems. Timelines should include scenario plans that actively manage risk , evaluate alternative development strategies as well as acceleration opportunities… more
- Bristol Myers Squibb (Devens, MA)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Senior Director of Cell Therapy Quality Automation Services will ... BMS automates Cell Therapy manufacturing, testing and release. The Senior Director will play an integral role...Serve as the primary quality decision maker for technical risk mitigation on automation of deviation management, CAPA, and… 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
- Banner Health (Phoenix, AZ)
- …models and population health management. Strong understanding of healthcare economics, risk adjustment methodologies, and quality measurement frameworks. Proven ... payer operations, particularly in value-based care arrangements. Experience with healthcare risk adjustment models and quality measurement frameworks (HEDIS,… more
- Molina Healthcare (MI)
- …Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight ... of all chart collection for Risk Adjustment , RADV, or ...risk programs. + Communicates with the Molina Plan Senior Leadership Team, including the Plan President, Chief Medical… 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
- US Foods (MD)
- …Join Our Community of Food People! BASIC PURPOSE As a Senior Director , Region Replenishment within US Foods, you will ... and driving continuous improvement within the function. As a Senior Director , Region Replenishment, you are accountable...over / under positions - Spoilage, freight & inventory adjustment : Oversee and monitor key elements such as spoilage,… more
- CenterWell (Jackson, MS)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety...Responsible for performance management and strategy development for PCO risk adjustment at the division and market… more
- CenterWell (Hampton, VA)
- …(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
- 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
Related Job Searches:
Adjustment,
Director,
Director Risk,
Director Risk Adjustment,
Risk,
Risk Adjustment,
Senior,
Senior Director