- Humana (Salt Lake City, UT)
- …a part of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and ... for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Dignity Health (Bakersfield, CA)
- …ensure maximum reimbursement from health plan payors. The role reports directly to the Risk Adjustment Population Health Director and plays a critical role ... programs. **Qualifications** **Minimum Qualifications:** - 3-5 years of experience with risk adjustment coding and/or medical coding - Bachelor's degree or… more
- Mount Sinai Health System (New York, NY)
- …(2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system. This Medical Director must be effective at ... improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI,...population health goals including access, quality, utilization and accurate risk adjustment with a group of practices… more
- ZoomCare (Portland, OR)
- …to become part of our dedicated, fast-moving team of superstars! ZoomCare is seeking a ** Medical Director of Primary Care** to join our team! The Medical ... initiatives. + Strong understanding of healthcare systems, value-based care models, and risk adjustment . + Proven track record of driving change, improving… more
- CenterWell (Jacksonville, FL)
- …market performance (clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational ... community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical...coaching initiatives are precise + Identify critical issues for high- risk patients during case reviews & other forums, and… more
- Molina Healthcare (Seattle, WA)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The VP Medical Director of Clinical Programs will manage the Health Plan Medical ... in areas of clinical integration as it relates to risk adjustment + Serves as a central...areas of MHPC, as needed + Assists the Market Medical Director for building and deepening relationships… more
- Bristol Myers Squibb (Princeton, NJ)
- …Controls Function (BCF) is a key contributor to the Company's overall enterprise risk management strategy. The BCF is a global organization with resources based ... in Princeton, NJ. The BCF is a second line risk management function (in accordance with the Institute of...leads and senior management throughout the Company. The Associate Director , US Commercial & OTC Process Control Advisor within… more
- Banner Health (Phoenix, AZ)
- …Clinical Decision Making **Work Shift:** Day **Job Category:** Physicians The Senior Medical Director , Network Performance is a senior clinical executive ... This role leads enterprise strategies to improve cost efficiency, quality outcomes, risk adjustment accuracy, and contract performance across lines of business… more
- Molina Healthcare (New York, NY)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program… more
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