- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …transform healthcare? Bring your true colors to blue. Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Associate ... Director of Risk Adjustment Data and Analytics is responsible...offer comprehensive package of benefits including paid time off, medical /dental/vision insurance, 401(k), and a suite of well-being benefits… more
- Blue KC (Kansas City, MO)
- …with adoption financial assistance** **Employee discount program** **Job Description Summary:** The Director , Government Programs Risk Adjustment & Audit ... risk adjusted revenue optimization strategy and oversight of Government Programs Risk Adjustment programs. **Job Description** + Interface with Blue KC… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Director Risk Adjustment Prospective...7 years of relevant experience in Risk Adjustment in a health plan or medical ... strategic leader who initiates, develops and executes/implements the multi-product risk adjustment strategy set by the executive...member disease burden after the point of care.3. Mitigate risk by identifying opportunities in the medical … more
- Datavant (Honolulu, HI)
- …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… 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
- Tufts Medicine (Burlington, MA)
- …as other technical requirements. 4. Summarizes and interprets audit findings for Director Risk Adjustment Operations/NEQCA Leadership; tracks audit results ... overall provider documentation as it pertains to coding and risk adjustment guidelines. Reviews medical ...identifies trends, and recommends corrective actions. 5. Collaborates with Director Risk Adjustment Operations/NEQCA staff… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and Analytics. This role will manage ... the process of developing and maintaining the risk adjustment strategic plan. This position will...strategies and tactics designed to ensure complete and accurate medical record documentation and coding. The Program Manager will… more
- Datavant (Little Rock, AR)
- …healthcare actuarial or medical economics departments with a focus on risk adjustment valuation and modeling + Experience creating and communicating ... vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping...manager will collaborate with other managers and the department director to set strategy and mobilize the team to… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Director , Quality Risk Management will drive consistent Global ... key QRM processes within the GxPs (GMP, GDP, GLP, Medical Devices, Cell Therapy, GCP & GVP) across the...BMS network. This position will report into the Senior Director , Risk Management. **Key Responsibilities:** + Provide… more
- Bristol Myers Squibb (Devens, MA)
- …approach to perform GLP environmental fate/effects studies and environmental risk assessments according to appropriate international regulatory guidelines. This role ... teams to deliver on-time and on-budget GLP studies and environmental risk assessments necessary to support successful clinical trials and drug registrations… more
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