- Molina Healthcare (Houston, TX)
- …Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program management , operational execution, and ... in healthcare provider engagement or payer-provider program management . + Familiarity with clinical, quality , or...payer-provider program management . + Familiarity with clinical, quality , or risk adjustment program workflows. +… more
- Molina Healthcare (Fort Worth, TX)
- …requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops ... of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and...deliverables. This role also works with the Health Plan quality leads to strategically plan for supplemental data source… more
- Molina Healthcare (Austin, TX)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease ... management , and evidence-based guidelines. + Experience in Utilization/ Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
- UTMB Health (Galveston, TX)
- …Must obtain CPHRM within 18 months of hire. **Preferred Education:** + Master's degree in healthcare or risk management . + RN experience is highly desirable. ... risk -related topics. + Actively participates in committees as assigned related to risk management , safety, and quality improvement. + Provide support to… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Enterprise Risk Management Analyst Senior - Remote **Job Description** The Senior Enterprise ... Risk Management (ERM) Analyst is responsible for...and devising and recommending solutions **Preferred Qualifications** + Managed healthcare , health insurance, or other highly regulated industry +… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Enterprise Risk Management Analyst - Remote **Job Description** The Enterprise Risk ... and developing strategies to mitigate and manage risks. The role supports implements risk management policies and procedures, conducts risk assessments,… more
- Sumitomo Pharma (Austin, TX)
- …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 (Austin, TX)
- …**Required** + 8+ years of product management experience in healthcare , including ownership of clinical, risk adjustment, or provider-facing solutions. ... multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and… more
- Houston Methodist (Houston, TX)
- …change. Recommends resolution based on established legal theories, while applying HM's risk management principles. + Seeks creative solutions to enhance ... Senior Risk Attorney position is responsible for risk , claims, and litigation management involving high-exposure...a suitable balance is struck between the degree of risk tolerance and the successful delivery of healthcare… more
- Evolent (Austin, TX)
- …team looking for dedicated team members with a passion for improving healthcare . **Collaboration Opportunities:** Our Risk Adjustment coding support team offers ... Adjustment coding team members, including coding support specialists. + Provides leadership, management , and ongoing training to Risk Adjustment coding support… more