• AVP , Quality & Risk…

    Molina Healthcare (Albuquerque, NM)
    **Job Description** **Job Summary** The AVP , Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and ... of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality subject... subject matter expert for the health plan. The AVP leads a plan with a large membership base,… more
    Molina Healthcare (09/25/25)
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  • AVP , Clinical Data Acquisition

    Molina Healthcare (Albuquerque, NM)
    …Summary** **Job Summary** The AVP , Clinical Data Acquisition is a key Risk Adjustment (QI) leader within the organization enterprise wide. This position ... adjustment and project set-up/implementation * Manages state Risk / Quality leader relationships and RA related collection... Quality (CPHQ) * Nursing License * Certified Risk Adjustment Coding (CRC) To all current… more
    Molina Healthcare (10/22/25)
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  • Program Director, Quality Incentives

    Molina Healthcare (Roswell, NM)
    …healthcare experience with proven relationship management responsibilities * Proven experience in risk adjustment , quality , and provider engagement. * ... using all areas of RQS staff with oversight from AVP as needed. * May supervise one or more...**PREFERRED EXPERIENCE:** 10+ years managed care experience specifically within Risk Adjustment and/or Quality To… more
    Molina Healthcare (09/10/25)
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  • Associate VP, Medicare & Medicaid Encounters…

    Humana (Santa Fe, NM)
    …large production-oriented teams + Experience in claims processing, encounters submissions, or Risk Adjustment + Experience with the IT budgeting and ... caring community and help us put health first** The Associate Vice President ( AVP ) of Medicare and Medicaid Encounter Submissions is responsible for the integrity,… more
    Humana (10/24/25)
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