- New York State Civil Service (Brooklyn, NY)
- …NY Zip Code 11233 Duties Description NYCCC is recruiting a Director of Clinical Risk Management Department to oversee their Risk Management Department and will ... with senior administrators as needed.* Acting as a resource to team leaders/ program directors as well as CRMs, identifying reportable incidents and facilitating the… more
- New York State Civil Service (Brooklyn, NY)
- …treatment teams to mitigate potential for infectious disease.* Developing infection control risk assessment and plan along with educational programs for staff and ... patients.* Evaluating the effectiveness of the infection control program and revising as needed.* Leading annual flu prevention, treatment, and reporting.*… more
- Mount Sinai Health System (New York, NY)
- …for driving key population health goals including access, quality, utilization and accurate risk adjustment with a group of practices and (2) close partnership ... with the CDQI Director to drive accurate risk adjustment throughout the system. This Medical...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more
- Humana (Olympia, WA)
- …nursing (BSN), or a related field, or equivalent work experience. + Experience with Medicare Risk Adjustment and/or medical coding. + Experience with ... advance their goals related to interoperability, quality, value-based arrangements, and risk adjustment strategies. Recommend execution strategies and monitor… more
- Deloitte (Colorado Springs, CO)
- …care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk adjustment + Support business development efforts for Federal and ... waivers (ie, 1115, 1915 b/c, 1332) + Experience with risk adjustment mechanisms + Experience with Provider...individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or … more
- New York State Civil Service (Staten Island, NY)
- …treatment planning.* Participating in multidisciplinary case discussions, high- risk reviews, and administrative meetings.* Maintaining clinical documentation ... in New York State, and completion of a training program in psychiatry approved by the ABPN. Psychiatrist 2:...will be required.This position is eligible for a Downstate adjustment of $4,000.NOTE: 1. In order to be eligible… more
- Point32Health (NH)
- …and will work in a matrix environment collaborating with functions including risk adjustment , population health, finance, operations, actuarial, and sales. **Job ... and products. The Director will lead a team who negotiates contracts including risk arrangements to enable high performing provider networks that support goals for… more
- Centene Corporation (Tallahassee, FL)
- …with data mining, machine learning, artificial intelligence, or statistical modeling preferred ** Risk Adjustment :** Experience in risk adjustment , ... preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.Pay… more
- New York State Civil Service (Queens Village, NY)
- …Provide direct mental health counseling and psychotherapeutic treatment* Conduct risk assessments, clinical evaluations, and intake screenings* Document and maintain ... the Hiring for Emergency Limited Placement - Statewide (HELPS) program as a Licensed Mental Health Counselor if they...will be required.This position is eligible for a Downstate Adjustment of $4,000.Notes:1. If you fail to maintain your… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …identify risks and opportunities for improvement. * Collaborate with Pharmacy, Risk Adjustment , Network Management, Care Management, Member Experience, Medical ... leadership for all enterprise quality performance programs across the organization's Medicare , Medicaid, ACA, and Commercial lines of business. This position leads… more