- Mount Sinai Health System (New York, NY)
- …adjustment with a group of practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system. This ... hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially our patients covered… more
- CVS Health (Hartford, CT)
- …leadership and oversight of the development, implementation, and execution of the strategic risk adjustment plan for Medicare ensuring its alignment with ... of the company. The role is responsible for developing and enhancing risk adjustment analytics and reporting, identifying market growth opportunities, and… more
- Point32Health (NH)
- …and will work in a matrix environment collaborating with functions including risk adjustment , population health, finance, operations, actuarial, and sales. **Job ... we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development,… more
- Elevance Health (Richmond, VA)
- …value-based care provider or a healthcare services enablement company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing, ... **Clinical Documentation and Claims Integrity Director ** **Location:** **Virtual:** This role enables associates to...This leader brings proven experience in payer and provider risk adjustment initiatives and possesses a deep… more
- Molina Healthcare (Rochester, NY)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare ,… more
- CenterWell (Jacksonville, FL)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our...coaching initiatives are precise + Identify critical issues for high- risk patients during case reviews & other forums, and… more
- OhioHealth (Columbus, OH)
- …careers and in our communities. **Job Description Summary:** The Manager, Quality & Risk Adjustment is responsible for the strategic coordination of quality and ... risk adjustment programs supporting OhioHealth's Population Health...including but not limited to Clinically Integrated Network (CIN), Medicare Shared Savings Program, etc. This position will: *… more
- CenterWell (Columbia, SC)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our...coaching initiatives are precise + Identify critical issues for high- risk patients during case reviews & other forums, and… more
- CenterWell (Daytona Beach, FL)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... and help us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining… 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 ... 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