- Evolent (Helena, MT)
- …plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and oversees the ... coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance...or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment… 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 ... **Job Description** **Mount Sinai Health System is seeking a Medical Director of Physician Engagement and CDQI!**...population health goals including access, quality, utilization and accurate risk adjustment with a group of practices… more
- Elevance Health (Cincinnati, OH)
- **Clinical Compliance Medical Director ** _Please note that per our policy t_ _his role enables associates to work virtually full-time, with the exception of ... unless an accommodation is granted as required by law._ The **Clinical Compliance Medical Director ** is responsible for providing clinical guidance related to… more
- CenterWell (Daytona Beach, FL)
- …market performance (clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational ... us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical...and coaching initiatives are precise *Identify critical issues for high- risk patients during case reviews & other forums, and… 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
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary The Medical Director (MD) provides clinical leadership and direction to the utilization & ... long-range clinical programming, quality management, and external relationships. The Medical Director reports to the Vice President...and strategic deployment. + Provides support to Health Plan risk adjustment activities as needed. + Is… more
- Molina Healthcare (Ann Arbor, MI)
- …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
- Molina Healthcare (Layton, UT)
- …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
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . Position reports to the Executive Director of Medical Neuropsychiatry Medical Communications within ... Narrative. This role is responsible for the strategy and execution of BMS Medical Neuropsychiatry Communications portfolio. The Director of Medical … more
- Saint Francis Health System (Tulsa, OK)
- …Time Days Warren Clinic Physicians Only: 12-16 hours per week Job Summary: The Medical Director , Population Health (H) serves as the physician leader for Saint ... to Population Health's clinical teams including quality, care management, pharmacy, risk adjustment program, and post-acute care initiatives. Reviews quality… more