- Ankura (New York, NY)
- …operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also ... of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for clients. +… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Director Risk Adjustment Prospective Operations & Risk Mitigation is the thought leader role responsible for ensuring the complete and ... role is a key strategic leader who initiates, develops and executes/implements the multi-product risk adjustment strategy set by the executive leaders of Risk… more
- 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...holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will… more
- Ankura (New York, NY)
- …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside… more
- NASCO (Denver, CO)
- …deployment of AI/ML (Machine Learning) and agentic models for payer analytics, risk adjustment , fraud detection, and personalized member engagement + ... **Overview** Under general direction, the Director of Data and AI Architecture will drive...and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance our… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …some of the brightest minds in biopharma. **Position Summary** The Scientific Director /Senior Director , CMC Team Leader is responsible for developing and ... role turning molecules into medicines. **This role may be appointed at the Director or Senior Director level. Candidates with demonstrated experience and… more
- Bristol Myers Squibb (Princeton, NJ)
- …This role is part of the Global Pricing organization and reports to the Director of PBM/Payer, Contract Strategy and Analytics. The Associate Director of ... of customer contracting opportunities including performing financial modeling, contract risk assessment analysis and preparation of legally approved contract… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . The Director , Procurement, Analytical Testing Services position is responsible for developing, ... ensures reliable, robust, agile, compliant, and cost-effective supply and services. The Director will serve as Pillar Lead, engaging closely with colleagues across… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …lives. Read more: careers.bms.com/working-with-us . The primary purpose of the Associate Director , Cell Therapy - Direct Materials role will be to develop and ... Develop and enable Direct Material supply strategies that contemplate cost, risk mitigation, supply assurance, quality, supplier diversity, innovation, and supplier… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Description:** The role of Associate Director of US Commercial Regulatory Affairs requires the ability to apply ... complex scientific and expert regulatory advice and risk assessment for the development of promotional campaigns and...assigned facility. Site-by-design roles may be eligible for a hybrid work model with at least 50% onsite at… more
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