- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …transform healthcare? Bring your true colors to blue. Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Associate ... Director of Risk Adjustment Data and Analytics is responsible for developing and executing the analytic plan for the Medicare and Merged Market segments. The… more
- Tufts Medicine (Burlington, MA)
- …as other technical requirements. 4. Summarizes and interprets audit findings for Director Risk Adjustment Operations/NEQCA Leadership; tracks audit results ... over time, identifies trends, and recommends corrective actions. 5. Collaborates with Director Risk Adjustment Operations/NEQCA staff and vendors to identify… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and Analytics. This role will manage ... the process of developing and maintaining the risk adjustment strategic plan. This position will track and monitor the key performance indicators of multi-year… more
- Datavant (Boston, MA)
- …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... professional, educational and life experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP of Client Success and… more
- Commonwealth Care Alliance (Boston, MA)
- … Director of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and ... of data systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category (HCC) revenue programs. This… more
- Bristol Myers Squibb (Devens, MA)
- …approach to perform GLP environmental fate/effects studies and environmental risk assessments according to appropriate international regulatory guidelines. This role ... teams to deliver on-time and on-budget GLP studies and environmental risk assessments necessary to support successful clinical trials and drug registrations… 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 G&C leadership team, the AD Post-Award will work closely with the Assistant Director (AD) of Pre-Award and AD of Agreements to ensure efficient and effective… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …delivery of high-quality, trustable clinical data to support key initiatives around quality, risk adjustment , medicare stars, and interoperability. This is a key ... true colors to blue. What we need The Associate Director of Clinical Data Management will be a key...with cross-functional teams, including clinical operations, performance measurement, and risk adjustment , to execute on data procurement… more
- NASCO (Boston, MA)
- …deployment of AI/ML (Machine Learning) and agentic models for payer analytics, risk adjustment , fraud detection, and personalized member engagement + ... **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance… more
- Bristol Myers Squibb (Cambridge, MA)
- …biology and leading academic research centers in the area. **Position Summary:** The Director of Cancer Immunology within the Oncology TRC at BMS will play a ... in fast-paced and sometimes ambiguous environments. **Position Responsibilities:** As the Director of Cancer Immunology within the Oncology TRC, the successful… more