- Centene Corporation (Austin, TX)
- …and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of ... assessments oversight and the monitoring work plans pertaining to Risk Adjustment . Partners with business areas to ensure and implement effective prevention,… more
- Ankura (Los Angeles, CA)
- …and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice and ... solutions to complex litigation, enforcement, and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's… more
- Molina Healthcare (St. Petersburg, FL)
- …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and ... **Job Description** **Job Summary** The Director , Clinical Data Acquisition is responsible for the...that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation experience. +… more
- University of Utah Health (Murray, UT)
- …responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health plan's ... risk adjustment program. + This role is...and analyses for tracking and reporting at the department, senior leadership, and provider level. + RAD-V audit experience… more
- Scripps Health (San Diego, CA)
- This Senior Director position is eligible to participate in the Director Incentive Plan. Position is in La Jolla and does require residence in San Diego ... team and the results of our strategic focus. The Senior Director role is critical to building...accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs… more
- Ankura (Lexington, NY)
- …assessment. + Apply innovative techniques to healthcare engagements including those related to Risk Adjustment . + Expand and build new products in a ... an Industry thought leader in healthcare topics like predictive analytic applications, risk adjustment , and value-based care. + Develop, supervise, and motivate… more
- Bristol Myers Squibb (Seattle, WA)
- …and the ability to help patients are incredible. We are seeking a Senior Director , Comparability and Analytical Program Integration functions. This role is ... are in place, and serve as a key technical and strategic interface with senior leadership and governance boards. This role is critical in shaping the analytical and… more
- 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 ... drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially...Based on experience and demonstrated skill set, could consider Senior Medical Director level and associated compensation… 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...initiatives + Champion our senior -focused primary care strategic vision and initiatives and foster… more
- CenterWell (Daytona Beach, FL)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of our...initiatives *Champion our senior -focused primary care strategic vision and initiatives and foster… more