- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Director ensures compliance with governmental ... requirements. The Risk Adjustment Compliance Director requires an in-depth understanding of how organization capabilities interrelate across the function… more
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** ... (United States of America) **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment...must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or… more
- Bristol Myers Squibb (Princeton, NJ)
- …for critical to quality (CtQ) data, processes, and vendors, demonstrating effective risk and issue management. Provide quality and compliance consultation to ... personal lives. Read more: careers.bms.com/working-with-us . Position Summary The Associate Director , RBQM - HOCT, ICN will mainly be responsible for developing… more
- Amazon (New York, NY)
- …Amazon is looking for an Information Content Manager to join Amazon's Operations Risk Compliance (ORC) Organization. You will implement information sharing best ... that promote employee cohesion, integration, and stakeholder engagement. Amazon's Operations Risk Compliance (ORC) Organization focuses on driving regulatory and… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …from a New England state (ME, VT, NH, MA, CT, RI).** Reporting to the Director of Grants and Contracts, the Assistant Director of Post-Award (AD Post-Award) is ... the aspects of post-award grant administration. This role ensures compliance with institutional policies, sponsor requirements, and applicable regulations. The… more
- Bristol Myers Squibb (Princeton, NJ)
- …Squibb (BMS) is seeking an exceptional leader for the position of Executive Director , Clinical Development Procurement (CDP). This role is a unique opportunity to ... supply chain through productivity initiatives and strong partnerships. As the Executive Director , CDP, you will be responsible for the development and implementation… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Associate Director , Therapeutic Area Audit Strategy Lead will be mainly responsible ... and contribution the audit/inspection portion . + Apply a risk -based approach to audit planning and execution. + Participate...the central QMS team + Lead the Quality and Compliance R&D Escalation Process + Ensure GLP systems are… more
- Bristol Myers Squibb (San Diego, CA)
- …Oversight . Develop and lead the global pharmacovigilance strategy to ensure proactive risk management and compliance with local and international PV regulations ... RayzeBio aims to be the global leader in radiopharmaceuticals. The **Executive Director , Head of Pharmacovigilance - Safety Science** , is responsible for overseeing… more
- Scripps Health (San Diego, CA)
- …for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. . Directs instructions and education activities ... *This Director position is eligible to participate in the...coding departments, on coding and documentation related issues. Promotes compliance with CMS, third party payers, NCDs and LCDs,… more
- WelbeHealth (Los Angeles, CA)
- …and financial analysis. This role will focus on overseeing capitation rates, risk adjustment methodologies, claims forecasting, and Incurred But Not Reported ... Python, R), Excel, and financial modeling tools + Deep understanding of CMS risk adjustment , Medicaid rate-setting, and Medicare Advantage/Part D payment models… more