- Emanate Health (Covina, CA)
- …MSO personnel on HCC and STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0 and achieves or improves upon ... keep well in body, mind and spirit by providing quality health care services in a safe, compassionate environment....to experience excellence in all we do through the quality of our services, our teamwork, and our commitment… more
- HCA Healthcare (Campbell, CA)
- …colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be a ... may vary by location._** Come join our team as a Director of Quality and Risk Adjustment . We care for our communities and employees! HCA Hope Fund in… more
- Ankura (Los Angeles, CA)
- …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
- Datavant (Sacramento, CA)
- …for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution ... on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review).… more
- Scripps Health (San Diego, CA)
- …Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs instructions and education ... This Senior Director position is eligible to participate in the...career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics,… more
- Dignity Health (Bakersfield, CA)
- …and dual eligible populations, and benefit systems is preferred. - HEDIS/Stars and HCC/ Risk adjustment knowledge. \#LI-DH **Where You'll Work** The purpose of ... medical director for the Population Health Services Organization (PHSO) quality division. - Analyze Physician/APP KPIs to identify improvement opportunities for… more
- CVS Health (Sacramento, CA)
- …strategic analysis. + Understanding of value-based care, including risk adjustment methodologies (eg, HCC coding), quality measurement frameworks, and ... all with heart, each and every day. The Lead Director , National VBC Performance Planning & Insights will act...key performance indicators (KPIs) related to revenue, cost and quality to identify trends and areas for improvement +… more
- Ankura (Los Angeles, CA)
- …assessment. + Apply innovative techniques to healthcare engagements including those related to Risk Adjustment . + Expand and build new products in a ... thought leader in healthcare topics like predictive analytic applications, risk adjustment , and value-based care. + Develop,...Ability to manage multiple concurrent projects. + Commitment to quality and working within a team. + Effective oral… more
- Bristol Myers Squibb (San Diego, CA)
- …providing insights into biology, translational elements as well as overall benefit risk assessments + The role will supervise the development of differentiated and ... including eg Protocol Review Committee, support of Business Development activities and Quality and Compliance leadership + The role will report directly to the… more
- Amazon (Mountain View, CA)
- …with business teams on science-heavy problems, incubating products with high AI research risk , reducing friction and manual effort with AI tooling, and raising the ... also strongly encouraged. - Strong track record in performing high- quality analysis of data at scale. Amazon is an...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
