- Somatus (Mclean, VA)
- …Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment Programs to optimize the programs ' clinical ... MRA strategy (eg prospective, retrospective, concurrent approaches). + Lead risk adjustment operational programs aimed...the Quality Program to implement tactics for risk adjustment optimization, particularly for provider and… more
- CVS Health (Hartford, CT)
- …Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment National Programs , this individual will work closely with ... risk adjustment programs to monitor performance, track activities...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- The 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
- Bristol Myers Squibb (New Brunswick, NJ)
- …work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both ... or biotechnology industry + 4+ + years of experience in Quality Risk Management (QRM). within the pharmaceutical or biotechnology industry. + Experience in… more
- Universal Health Services (Reno, NV)
- …. + At least 3 years of health care experience working with Medicare and/or Commercial risk adjustment programs . Requires working knowledge of CMS risk ... strategies within the Prominence Health umbrella. Emphasis will be centered around risk -based contract performance, risk adjustment , and quality measurement… more
- Commonwealth of Pennsylvania (PA)
- …designs and/or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment and prevention of mental ... experimental designs or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment and prevention of mental… more
- International Rescue Committee (Baltimore, MD)
- … will ensure the delivery of high-quality and impactful immigration legal services programs through direct supervision of two immigration program managers, who ... of an inclusive and equitable professional working environment. MAJOR RESPONSIBILITIES: Program /Staff Management + Oversee immigration legal services programs … more
- University of Colorado (Aurora, CO)
- Business Development and Strategic Alliance Program Director - 31317 University Staff **Description** **University of Colorado Anschutz Medical Campus** ... **Department: CU Innovations** **Job Title:** **Business Development and Strategic Alliance Program Director ** **Position # 00816216 - Requisition # 31317**… more
- New York State Civil Service (New York, NY)
- …Financial Services, Department of Title Assistant Deputy Superintendent for Property ( Director Financial Services Programs 2, SG-33) Occupational Category ... public affairs, law, market analysis, mathematics, public administration, public policy, risk management, statistics, taxation, or technology and eight (8) years of… more
- Elevance Health (Richmond, VA)
- …practice managers, population health and quality directors on improving STARS/HEDIS or Risk Adjustment performance. + Six Sigma or formal process improvement ... locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and implementing… more
- Tucson Electric Power (Tucson, AZ)
- ** Director , Wholesale Marketing** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **5672** **About Us** UNS Energy Corporation ... our employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Director , Wholesale Marketing** **Position Description** Responsible for the oversight… more
- RELX INC (Houston, TX)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... drive insights from complex data sets, improving operation efficiency, increasing program integrity, discovering, and recovering revenue, and making timely and… more
- CUNY (New York, NY)
- …of strategic financial planning for new school of medicine masters and certificate programs . + Direct the monitoring of program performance against operating ... Director of Financial Planning & Fiscal Operations **POSITION...2017. The CUNY SoM offers an accelerated BS/MD (7-year program ) and a Physician Assistant Master's Degree (27 months… more
- Bristol Myers Squibb (Cambridge, MA)
- …for development programs and be able to successfully deliver their program (s) milestones and goals. As the strategic partner and operational lead for development ... and lifecycle management programs , the Associate Director GPM works to...Wellbeing support such as the BMS Living Life Better program and employee assistance programs (EAP). Financial… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …(Underwriting and Loss Prevention) by the absence of responsibility for the comprehensive risk program . Differs from the State Risk Administrator (Claims) ... Division of Administration ancillary agency that administers the comprehensive risk management program for the State of...if disaster is Presidentially-declared * Provides recommendation to State Risk Director , State Risk Assistant… more
- Trinity Health (Albany, NY)
- …Risk Manager **DEPARTMENT:** Clinical Quality & Safety **REPORTS TO:** Regional Director Risk Management **MISSION STATEMENT** **_:_** We, St Joseph's Health, ... Risk Manager is responsible for administering the risk management program on a day-to-day basis,...+ Participates in evaluation of claims for settlement /or risk adjustment within ministry authority. Advises billing… more
- Commonwealth Care Alliance (Boston, MA)
- …reviews, including claims reviews; call center and digital communications reviews; Medicare Risk Adjustment , HCC, clinical and coding reviews; DRG and medical ... This Role is Important to Us:** **Position Summary:** The Director , Quality & Control Assurance reports to the VP...of existing audits. Oversees and directs regular gap analyses, risk assessments and program effectiveness assessments for… more
- Bristol Myers Squibb (Summit, NJ)
- …work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both ... in their personal lives. Read more: careers.bms.com/working-with-us . **Title:** **Associate Director , MS&T Site Lead** **Location: Summit, NJ** At Bristol Myers… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …on real-world evidence, and creating hope for all facing illness. The Senior Director , Regulatory Affairs - Clinical (Early Development), may be called upon to guide ... plans to facilitate timely drug development and registration. The Senior Director , Regulatory Affairs - Clinical also works directly with cross-functional project… more
- RELX INC (Washington, DC)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the Job: The Director position exists to provide leadership ... About the Business: LexisNexis Risk Solutions is the essential partner in the...insights from complex data sets, improving operation efficiency, increasing program integrity, discovering, and recovering revenue, and making timely… more