• Director , Risk Adjustment

    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 ... external regulatory audits including IPM, RADV and OIG audits.This position will manage risk adjustment Prospective and Risk Mitigation team members and… more
    Corewell Health (07/21/25)
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  • Director , Prospective + Concurrent…

    Datavant (Lansing, MI)
    …realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... for the product portfolio focused on identifying and acting on undiagnosed conditions ( prospective suspecting) and ensuring risk adjustment coding accuracy… more
    Datavant (08/08/25)
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  • Director , Clinical Data Acquisition (HEDIS…

    Molina Healthcare (MI)
    …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and ... **Job Description** **Job Summary** The Director , Clinical Data Acquisition is responsible for the...that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation experience. +… more
    Molina Healthcare (08/21/25)
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