- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Director , Quality and Risk Adjustment has regional oversight of the development and ... submitted to CMS and other governmental agencies. The Director , Quality and Risk Adjustment requires an in-depth understanding of how organization… 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 (New York, NY)
- …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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …any legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director of Risk Adjustment Location: Hybrid | Eagan, Minnesota ... Special Services/Product Lines The Impact You Will Have The Director of Risk Adjustment is...impact analysis, pricing guidance, and budget recommendations. * Leads Quality and Risk Adjustment analytic… more
- Avera (Sioux Falls, SD)
- …Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director of Quality and ... Risk Services, Manager of Risk Adjustment , Manager of Quality , Quality Coordinator - HEDIS, coder(s), claims staff, and primary care & specialty care… more
- Point32Health (Canton, MA)
- …business division goals. This position will report to the Director of Risk Adjustment Strategy, Operations and Quality Assurance. **Job Description** + ... of standard (and ad hoc) analyses to improve awareness and understanding of risk adjustment results and the quality , accuracy and identification of member… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …critical to quality (CtQ) data, processes, and vendors, demonstrating effective risk and issue management. Provide quality and compliance consultation to ... at a study and/or ASSET and TA level, to document the end-to-end risk -based quality management for CtQ data, processes and vendors demonstrating effective… more
- Bristol Myers Squibb (Princeton, NJ)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . Third-Party Risk Management (TPRM) is essential to safeguard patient safety, ensure ... Myers Squibb's reputation by proactively identifying, assessing, and mitigating risk across a complex global supplier network. We seek...a complex global supplier network. We seek an Executive Director with the vision to shape global strategy, the… more
- Molina Healthcare (MI)
- …Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight ... of all chart collection for Risk Adjustment , RADV, or ...coding. This role also works with the Health Plan Risk / Quality leaders to strategically plan for supplemental… more
- Bristol Myers Squibb (Seattle, WA)
- …Controls for processes, including Management Responsibility, Event Management, Change Management, and Quality Risk Management, with a primary focus on regulatory ... to strategically prepare for and manage regulatory inspections, applying principles of Quality Risk Management to ensure inspection readiness and compliance.… more