- Molina Healthcare (GA)
- …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
- CenterWell (Atlanta, GA)
- …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
- AIG (Atlanta, GA)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as a Complex Claims Director - Aviation to play your part in that transformation. ... position requires the adjustment of complex aircraft damage claims. The Complex Director will function as a key account contact for multiple programs across all… more
- RELX INC (Alpharetta, GA)
- …You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About the Role As the Senior Director of Marketplace and ... About the Business LexisNexis Risk Solutions is the essential partner in the...drive thought leadership through innovative market messaging. The Senior Director , Marketplace and Lead Solutions will also be responsible… more
- RELX INC (Alpharetta, GA)
- …You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About the Role As the Director of Identity and Access ... About the Business LexisNexis Risk Solutions is the essential partner in the...bad actors, improve quote accuracy, and build trust. The Director , Identity and Access Solutions will also be responsible… more
- Molina Healthcare (Atlanta, GA)
- …experience with proven relationship management responsibilities * Proven experience in risk adjustment , quality, and provider engagement. * Demonstrated ability ... related field. **PREFERRED EXPERIENCE:** 10+ years managed care experience specifically within Risk Adjustment and/or Quality To all current Molina employees: If… more
- Molina Healthcare (Augusta, GA)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more
- Molina Healthcare (Atlanta, GA)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more
- CVS Health (Atlanta, GA)
- …consulting, financial strategic analysis. + Understanding of value-based care, including risk adjustment methodologies (eg, HCC coding), quality measurement ... all with heart, each and every day. The Lead Director , National VBC Performance Planning & Insights will act...guide business decisions for national and local providers. The Director will also play a key role in supporting… more
- Molina Healthcare (Augusta, GA)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program… more