- Molina Healthcare (San Diego, CA)
- … & quality improvement in collaboration with the Plan President, AVP of Quality & Risk Adjustment , and Network team. + Leads team of Practice ... Collaborates with Health Plan Network to drive value-based care strategy related to risk adjustment & quality . + Sets Health Plan level performance goals and… more
- Travelers Insurance Company (Salem, OR)
- …complex claims, in multiple jurisdictions, in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned claims, while ... file exposure is greater than $2 million. + Provide quality customer service and ensure file quality ...activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators… more
- CenterWell (Tallahassee, FL)
- …organization capabilities interrelate across the function or segment. **Strategy:** + In partnership with AVP , Risk Adjustment and AVP , MRA Strategy, ... (including GenAI) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with… more
- Citigroup (Getzville, NY)
- …of driving data strategy and ensuring the highest standards of data quality and governance. **Team Overview: Regulatory and Analytics (R&A)** The Regulatory and ... across various business and technology units to implement robust data quality management policies and procedures, and to provide subject matter expertise… more