- Robert Half Accountemps (Long Beach, CA)
- Description The Director for Quality and Risk Adjustment is responsible for leading enterprise development of the Medicare Star Ratings and Enterprise ... and client service to drive successful integration with the Risk Adjustment strategy. The Director ...quality assurance, coding, submissions, and audit services for risk adjustment revenue optimization. . Develop roadmap… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Quality , Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk ... adjustment . This person will support the Director of Risk Adjustment by monitoring and reporting on risk adjustment KPIs, delivering insights for… more
- CareOregon (Portland, OR)
- …Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors Manager Title Director , Risk Adjustment Pay and Benefits Estimated hiring ... Job Title Risk Adjustment Coding Manager Requisition #... quality , coordination, and collaboration across the entire risk adjustment process. Essential Responsibilities Coding Education… more
- CVS Health (Montgomery, AL)
- …and act independently when working with providers. This position reports to the Lead Director of Risk Adjustment for the Southeast Region. **Required ... 5+ years of experience with one or more of the following methodologies: risk adjustment , clinical quality , or healthcare quality improvement * Experience… more
- Datavant (Columbus, OH)
- …to realize our bold vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the ... manager will collaborate with other managers and the department director to set strategy and mobilize the team to...and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to… more
- Bristol Myers Squibb (Princeton, NJ)
- …role has accountability to evaluate, monitor, escalate and report risks to the Sr Director Risk Management and Central Monitoring and/or Global Program Team that ... Read more: careers.bms.com/working-with-us . **Position Summary** + The Associate Director , Risk Management and Central Monitoring (AD),...This role is responsible for the remote assessment of risk and data quality analytics that monitor… more
- Bristol Myers Squibb (Princeton, NJ)
- …deviations with project/products, to Health Authorities and RGO . + Translate risk factors into Clinical Quality Assurance oversight plans, including internal ... lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Associate Director , Therapeutic Area Audit Strategy Lead will be mainly responsible… more
- Mount Sinai Health System (New York, NY)
- …CDQI, who will (1) be responsible for driving key population health goals including access, quality , utilization and accurate risk adjustment with a group of ... practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment...hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment … more
- Molina Healthcare (Seattle, WA)
- …Excellence (CoE) will guide strategy and operational direction for engaging providers on risk adjustment and quality improvement for assigned Health Plans. ... **JOB DESCRIPTION** **Job Summary** The Director , Provider Engagement role within Molina's Provider Engagement...It will drive increased provider participation in Molina's risk adjustment and quality programs,… more
- Bristol Myers Squibb (Summit, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . Position: Executive Director , Head of Quality , Cell Therapy Manufacturing Facility ... in their personal lives. Read more: careers.bms.com/working-with-us Position Summary BMS Cell Therapy Quality Operations is seeking a Head of Quality at the Cell… more