- Datavant (Olympia, WA)
- …for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution ... on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review).… more
- Molina Healthcare (WA)
- …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and ... **Job Description** **Job Summary** The Director , Clinical Data Acquisition is responsible for the...that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation experience. +… more
- Datavant (Olympia, WA)
- …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
- Evolent (Olympia, WA)
- …You'll Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the ... Risk Adjustment Coding Support team. Evolent Care...coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance… more
- NASCO (Olympia, WA)
- …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 (Seattle, WA)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . The Director , Materials Science will oversee the management of all raw materials, ... + Provide leadership for Material Review Committee (MRC), driving the material risk management strategy. + Develop and implement technical strategies for critical… more
- Amazon (Redmond, WA)
- …ensure our systems are secure by default and delightful for customers. As the Director of Kuiper Security Assurance, you will manage a team of compliance subject ... will also work closely with various industry groups and regulators to establish risk requirements and policies for Project Kuiper. The successful candidate is a… more
- Molina Healthcare (Everett, WA)
- …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
- Amazon (Seattle, WA)
- Description As Director of Delivery for AWS Professional Services (ProServe) North America, you'll shape how our consultants deliver solutions to strategic customers ... operations, including both technical practices and program management - Drive risk management and stakeholder engagement to ensure successful customer outcomes -… more
- Bristol Myers Squibb (Seattle, WA)
- …ability to help patients are incredible. We are seeking a Senior Director , Comparability and Analytical Program Integration functions. This role is responsible for ... comparability strategies across the product lifecycle, including specification setting, risk assessments, and regulatory submissions. + Identify, build and maintain… more