- Point32Health (Canton, MA)
- …business division goals. This position will report to the Director of Risk Adjustment Strategy, Operations and Quality Assurance. **Job Description** + ... of standard (and ad hoc) analyses to improve awareness and understanding of risk adjustment results and the quality , accuracy and identification of member… more
- 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
- Bristol Myers Squibb (Madison, NJ)
- …your application should be directed to Chat with Ripley. R1596112 : Associate Director , Quality Risk Specialist **Company:** Bristol-Myers Squibb **Req ... critical to quality (CtQ) data, processes, and vendors, demonstrating effective risk and issue management. Provide quality and compliance consultation to… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement ... the subject matter expert in all functional areas in risk , data capture and quality improvement, coordinating...teams within Molina. + Possesses a strong knowledge in risk adjustment programs and processes, data acquisition… more
- Bristol Myers Squibb (Princeton, NJ)
- …application should be directed to Chat with Ripley. R1596115 : Executive Director , Global Procurement Third Party Risk Management **Company:** Bristol-Myers ... and in their personal lives. Read more: careers.bms.com/working-with-us . Third-Party Risk Management (TPRM) is essential to safeguard patient safety, ensure… more
- Mount Sinai Health System (New York, NY)
- …CDQI, who will (1) be responsible 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...hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment … more
- LA Care Health Plan (Los Angeles, CA)
- …and align work with enterprise strategy. Deep knowledge of healthcare operations, quality measurement, risk adjustment , provider networks, provider ... Director , Enterprise Analytics Job Category: Management/Executive Department: Enterprise...Snowflake or SnowPro training Healthcare analytics training (eg, HEDIS, Risk Adjustment , MLTSS) Executive leadership or strategic… more
- Boehringer Ingelheim (Ridgefield, CT)
- …Arrangements/Programs + Quality Improvement Initiatives/Programs + Administrative Coding + Risk Adjustment + Clinical Pathways + Improvement Activities + ... reflect Boehringer Ingelheim's high regard for our employees. The Director , Healthcare Quality is responsible for developing and executing our quality… more
- Commonwealth of Pennsylvania (PA)
- …experimental designs or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment, and prevention of mental ... experimental designs or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment, and prevention of mental… more
- LA Care Health Plan (Los Angeles, CA)
- …the safety net required to achieve that purpose. Job Summary The Director , Claims Administration, governs enterprise outcomes and risk controls, introducing ... Director , Claims Administration Job Category: Management/Executive Department: Claims...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more