- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** The Director , Quality & Risk Adjustment is responsible for leading health plan execution for Risk and Quality ... MHI Quality for accreditation activities. + Key stakeholder to MHI RQS ( Risk Quality Solutions) for planning and implementing evidence-based quality … more
- Robert Half Accountemps (Long Beach, CA)
- Description The Director for Quality and Risk Adjustment is responsible for leading enterprise development of the Medicare Star Ratings and Enterprise ... and client service to drive successful integration with the Risk Adjustment strategy. The Director ...quality assurance, coding, submissions, and audit services for risk adjustment revenue optimization. . Develop roadmap… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Quality , Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk ... adjustment . This person will support the Director of Risk Adjustment by monitoring and reporting on risk adjustment KPIs, delivering insights for… more
- CareOregon (Portland, OR)
- …Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors Manager Title Director , Risk Adjustment Pay and Benefits Estimated hiring ... Job Title Risk Adjustment Coding Manager Requisition #... quality , coordination, and collaboration across the entire risk adjustment process. Essential Responsibilities Coding Education… more
- CVS Health (Montgomery, AL)
- …and act independently when working with providers. This position reports to the Lead Director of Risk Adjustment for the Southeast Region. **Required ... 5+ years of experience with one or more of the following methodologies: risk adjustment , clinical quality , or healthcare quality improvement * Experience… more
- Datavant (Columbus, OH)
- …to realize our bold vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the ... manager will collaborate with other managers and the department director to set strategy and mobilize the team to...and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to… more
- Bristol Myers Squibb (Summit, NJ)
- …deviations with project/products, to Health Authorities and RGO . + Translate risk factors into Clinical Quality Assurance oversight plans, including internal ... lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Associate Director , Therapeutic Area Audit Strategy Lead will be mainly responsible… more
- Mount Sinai Health System (New York, NY)
- …CDQI, who will (1) be responsible for driving key population health goals including access, quality , utilization and accurate risk adjustment with a group of ... practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment...hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment … more
- Mount Sinai Health System (New York, NY)
- …CDQI, who will (1) be responsible for driving key population health goals including access, quality , utilization and accurate risk adjustment with a group of ... practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment...hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment … more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Data Quality Lead ( Director Financial Services Programs 2, SG-33) Occupational Category Financial, ... innovation; and preserving the stability of the global financial system.As a Data Quality Lead, you will be an integral part of the data governance strategy… more