- Ankura (Los Angeles, CA)
- …operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also ... of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for clients. +… more
- LA Care Health Plan (Los Angeles, CA)
- …and align work with enterprise strategy. Deep knowledge of healthcare operations, quality measurement, risk adjustment , provider networks, provider ... Director , Enterprise Analytics Job Category: Management/Executive Department: Enterprise...Snowflake or SnowPro training Healthcare analytics training (eg, HEDIS, Risk Adjustment , MLTSS) Executive leadership or strategic… more
- LA Care Health Plan (Los Angeles, CA)
- …the safety net required to achieve that purpose. Job Summary The Director , Claims Administration, governs enterprise outcomes and risk controls, introducing ... Director , Claims Administration Job Category: Management/Executive Department: Claims...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- Scripps Health (San Diego, CA)
- …of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment /HCC principles. * Strong technical proficiency and experience ... *This Senior Director position is eligible to participate in the...fee services. This role is responsible for advancing documentation quality , coding accuracy, and compliance to ensure the integrity… more
- Bristol Myers Squibb (San Diego, CA)
- …personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Director of Early Precision Medicine Regulatory Affairs leads global regulatory ... of the Translational Medicine CLIA Laboratory Steering Committee, the director drives coordinated early-stage drug-diagnostic strategies and health authority… more
- Dignity Health (Bakersfield, CA)
- …and dual eligible populations, and benefit systems is preferred. - HEDIS/Stars and HCC/ Risk adjustment knowledge. \#LI-DH **Where You'll Work** The purpose of ... **Job Summary and Responsibilities** The Medical Director of Physician Engagement leads the development and execution of strategies to engage physicians and APPs,… more
- Actalent (Costa Mesa, CA)
- Relocation Assistance to Seattle, WA Provided Job Title: Director of Hardware Engineering or Principal Hardware Engineer Job Description Join an innovative, ... aperture radar (SAR) techniques and advanced defense missions. As the Director of Hardware Engineering, you will lead the design, development, qualification,… more
- Ankura (Los Angeles, CA)
- …assessment. + Apply innovative techniques to healthcare engagements including those related to Risk Adjustment . + Expand and build new products in a ... thought leader in healthcare topics like predictive analytic applications, risk adjustment , and value-based care. + Develop,...Ability to manage multiple concurrent projects. + Commitment to quality and working within a team. + Effective oral… more
- Bristol Myers Squibb (San Diego, CA)
- …providing insights into biology, translational elements as well as overall benefit risk assessments + The role will supervise the development of differentiated and ... including eg Protocol Review Committee, support of Business Development activities and Quality and Compliance leadership + The role will report directly to the… more
- Bristol Myers Squibb (San Diego, CA)
- …Collaborates with Global Development Operations/Global Compliance Group to develop asset level risk management plan, resolves issues with Quality /CS, and raises ... target label indications and are designed to meet regulatory, quality , medical, and access goals + Serves as a...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more