- Robert Half Accountemps (Long Beach, CA)
- Description The Director for Quality and Risk Adjustment is responsible for leading enterprise development of the Medicare Star Ratings and Enterprise ... grievance and appeal management, and client service to drive successful integration with the Risk Adjustment strategy. The Director will work in close… more
- Dignity Health (Bakersfield, CA)
- …ensure maximum reimbursement from health plan payors. The role reports directly to the Risk Adjustment Population Health Director and plays a critical role ... programs. **Qualifications** **Minimum Qualifications:** - 3-5 years of experience with risk adjustment coding and/or medical coding - Bachelor's degree or… more
- Mount Sinai Health System (New York, NY)
- …(2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system. This Medical Director must be effective at ... improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI,...population health goals including access, quality, utilization and accurate risk adjustment with a group of practices… more
- ZoomCare (Portland, OR)
- …to become part of our dedicated, fast-moving team of superstars! ZoomCare is seeking a ** Medical Director of Primary Care** to join our team! The Medical ... initiatives. + Strong understanding of healthcare systems, value-based care models, and risk adjustment . + Proven track record of driving change, improving… more
- Molina Healthcare (Seattle, WA)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The VP Medical Director of Clinical Programs will manage the Health Plan Medical ... in areas of clinical integration as it relates to risk adjustment + Serves as a central...areas of MHPC, as needed + Assists the Market Medical Director for building and deepening relationships… more
- Molina Healthcare (Dayton, OH)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare,… more
- Bristol Myers Squibb (Cambridge, MA)
- …personal lives. Read more: careers.bms.com/working-with-us . **Summary:** We are seeking a Medical Communications Director with a deep understanding of the ... within Medical Affairs and Clinical Development. Position reports to the Executive Director of Medical Cell Therapy Medical Communications within Global … more
- Banner Health (Phoenix, AZ)
- …Clinical Decision Making **Work Shift:** Day **Job Category:** Physicians The Senior Medical Director , Network Performance is a senior clinical executive ... This role leads enterprise strategies to improve cost efficiency, quality outcomes, risk adjustment accuracy, and contract performance across lines of business… more
- Bristol Myers Squibb (Princeton, NJ)
- …Cell Therapy Medical organization. We have an opening for a Senior Director , Cell Therapy Medical Affairs, US Portfolio Strategy , which will report ... and a strong ability to collaborate effectively across matrix functions. The Senior Director , Cell Therapy Medical Affairs, US Portfolio Strategy will be… more
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