- Molina Healthcare (Chandler, AZ)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition is responsible for the implementation, monitoring, and oversight of all chart collection ... for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and...Electronic Medical Record (EMR) access. This position would oversee management of training for all CDA team members as… more
- Banner Health (Phoenix, AZ)
- …8. Pursue continuing education and professional organization memberships to advance knowledge of healthcare risk management . Serve on committees and task ... **Work Shift:** Day **Job Category:** Risk , Quality and Safety The **Senior Director , Clinical Risk Management & Patient Relations** will provide… more
- Sumitomo Pharma (Phoenix, AZ)
- …event coding, concomitant medication coding, and causality statements. + Contributes to Risk Management Plans (RMPs)/ Risk Evaluation and Mitigation Strategy ... in oncology is highly desired + **Advanced understanding of pharmacovigilance and risk management regulations and guidelines, including pre- and post-marketing… more
- Datavant (Phoenix, AZ)
- …to realize our bold vision for healthcare . **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement....8+ years of product management experience in healthcare , including ownership of clinical, risk adjustment,… more
- Datavant (Phoenix, AZ)
- …a diversity of professional, educational and life experiences to realize our bold vision for healthcare . The Director of Client Success will report to the VP of ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...delivery perspective working closely with Client Success Managers. The Director of Client Success will communicate regularly with customer… more
- Community Health Systems (Tucson, AZ)
- … Management , or a related field preferred + 3-5 years of experience in healthcare risk management , compliance, or quality assurance required + 1-2 years ... preferred **Knowledge, Skills and Abilities** + Strong knowledge of healthcare risk management principles, compliance...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- Molina Healthcare (Phoenix, AZ)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease ... medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and… more
- Molina Healthcare (Phoenix, AZ)
- …Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing and deploying ... and other end users for operational and strategic analysis. **Knowledge/Skills/Abilities** The Director of Reporting & Analytics is a key leader within the… more
- Molina Healthcare (Scottsdale, AZ)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... issues, steer partners toward durable fixes, and convert disciplined CTM management into Stars gains, audit readiness, and measurable member-experience improvements.… more
- Kyndryl (Phoenix, AZ)
- …in contact center environments. + Excellent communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is ... leading healthcare -focused journey redesign from eligibility verification to care management . + Align contact center transformation with healthcare business… more