- 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 ... a difference, join us. The Impact You Will Have We are looking for a Director of Risk Adjustment and Quality Analytics to lead a team that delivers insights… 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
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Director , Quality and Risk Adjustment has regional oversight of the development ... that is submitted to CMS and other governmental agencies. The Director , Quality and Risk Adjustment requires an in-depth understanding of how organization… more
- HCA Healthcare (Campbell, CA)
- …alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you ... for benefits may vary by location._** Come join our team as a Director of Quality and Risk Adjustment . We care for our communities and employees! HCA Hope… 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. ... Point32Health (https://www.point32health.org/) . **Job Summary** This position will lead the Risk Adjustment Operations & Provider Consulting team responsible… more
- Ankura (New York, NY)
- …operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also ... of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for clients. +… 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 ... hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially our patients covered… 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 Adjustment -like projects, and other state specific audit projects and deliverables related to… more
- Avera (Sioux Falls, SD)
- …and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director of Quality and ... Risk Services, Manager of Risk Adjustment , Manager of Quality, Quality Coordinator - HEDIS, coder(s), claims staff, and primary care & specialty care… 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
- Basin Electric Power Cooperative (Bismarck, ND)
- Job Title: DIRECTOR /MANAGER, RISK & INSURANCE (DOE) Posting Start Date: 10/3/25 Job Description: **POSITION PURPOSE** This position is open to varying levels of ... risk of loss, planning, managing, and coordinating risk regarding the property, Director and Officer...SKILLS** + Knowledge of property and casualty insurance, claims adjustment , and risk analysis. + Proficient with… more
- Bristol Myers Squibb (Madison, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . Job Description The Associate Director , RBQM - HOCT, ICN will mainly be responsible for developing ... critical to quality (CtQ) data, processes, and vendors, demonstrating effective risk and issue management. Provide quality and compliance consultation to clinical… more
- Catholic Health Initiatives (Little Rock, AR)
- …for the value hub. + Through Risk Management/Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas and Kentucky CIN. + ... CIN/Population Health Management experience required + Must have experience with risk adjustment coding and value based reimbursement models of payment +… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Structured Benefit- Risk Assessment (SBRA) Lead will report into the Structured Benefit- ... Risk Assessment Head within Safety Evidence and Sciences and...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- State of Colorado (Denver, CO)
- Assistant Director - Program Management II - Gilliam Youth Service Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5129383) Apply ... Assistant Director - Program Management II - Gilliam Youth Service...locally administered program that provides services to youth at risk of further progressing into the juvenile justice system.… more
- CenterWell (Tallahassee, FL)
- …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
- Point32Health (NH)
- …and will work in a matrix environment collaborating with functions including risk adjustment , population health, finance, operations, actuarial, and sales. **Job ... we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development,… more
- ChenMed (Miami, FL)
- …processes + Comprehensive knowledge of Medicare program including but not limited to Risk Adjustment processes and Fee For Service. + Knowledge of applicable ... need great people to join our team. The Associate Director , Revenue Cycle Management (RCM) Optimization manages and organizes...incumbent also serves as a subject matter expert on risk - adjustment and medical economics to aid in… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Information Technology Services, Office of Title Project Director - 10201 Occupational Category IT Engineering, Sciences Salary Grade NS Bargaining ... time.Under the direction of Deputy Commissioner for Technology, SG-NS, the Project Director , SG-NS, within the Office of Information Technology Services, Office of… more
- Wells Fargo (Tukwila, WA)
- …lines of business at wellsfargojobs.com (https://www.wellsfargojobs.com/career-areas/) . As a Work Director , you will oversee the daily activities for a functional ... will coordinate, prioritize, and distribute daily work; monitor work in progress, adjustment staff resources as needed; coordinate training; and assist in scheduling… more