- CVS Health (Tallahassee, FL)
- …treatment protocols for DSNP/MMP and other complex health populations to optimize risk adjustment , clinical quality, and care management. * Actively participate ... resistant illnesses through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical… more
- Molina Healthcare (Chandler, AZ)
- …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
- 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
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** Reporting to the Director , Inspection Readiness, the Associate Director will help drive ... extensively with teams and leaders across the BMS network. The Associate Director will support BMS' GMP/GDP Inspection Readiness strategy by supporting on-site and… more
- Bristol Myers Squibb (Princeton, NJ)
- …great teams and leaders across the BMS network. Will provide together with the Associate Director Risk Management and Director Quality Risk Management ... Management (QRM) processes within the GxPs (GMP, GDP, GLP, Medical Devices, Cell Therapy, GCP & GVP) across the...Stakeholder Partnering and Engagement: Support together with the Associate Director Risk Management the partnership with teams… more
- Scripps Health (San Diego, CA)
- …Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs instructions and education ... This Senior Director position is eligible to participate in the...industry standard guidelines. * Provides input to coding and medical record documentation guidelines to assure compatibility and compliance… more
- RELX INC (Alpharetta, GA)
- …You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About the Role As the Director of Identity and Access ... About the Business LexisNexis Risk Solutions is the essential partner in the...bad actors, improve quote accuracy, and build trust. The Director , Identity and Access Solutions will also be responsible… more
- Bristol Myers Squibb (Princeton, NJ)
- …more: careers.bms.com/working-with-us . **Position Summary** Reporting to the Senior Director , Competitive Compliance, the Associate Director , Vendor Audits, ... with the third-party service provider conducting audits for BMS. The Associate Director also acts as a liaison with External Manufacturing, the GMP/GDP audit… more
- RELX INC (Boca Raton, FL)
- Director of Market Planning: Digital Identity (IDV, Document Authentication, and Biometric) Are you a subject matter expert in Digital Identity Solutions? Are you a ... enjoy tracking and shaping policy? About the Business LexisNexis Risk Solutions is the essential partner in the assessment...our Team This role reports directly to the Sr. Director of Transformational Markets. About the Role This position… more
- Elevance Health (Waukesha, WI)
- …and claims integrity. This leader brings proven experience in payer and provider risk adjustment initiatives and possesses a deep understanding of end-to-end ... **Clinical Documentation and Claims Integrity Director ** **Location:** **Virtual:** This role enables associates to...services enablement company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing, and the… more