- 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
- Datavant (Augusta, ME)
- …for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution ... on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review).… more
- Commonwealth Care Alliance (Boston, MA)
- … Director of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and ... of data systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category (HCC) revenue programs. This… 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
- Bristol Myers Squibb (Summit, NJ)
- …of risks and mitigation projects, ensuring alignment with Business Continuity Management and Quality Risk Management. + Prioritize a selection of risk ... in their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Director , Cell Therapy Drug Product Operations Risk Management, is… 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 (Devens, MA)
- …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
- Molina Healthcare (Tucson, AZ)
- …healthcare experience with proven relationship management responsibilities * Proven experience in risk adjustment , quality , and provider engagement. * ... or related field. **PREFERRED EXPERIENCE:** 10+ years managed care experience specifically within Risk Adjustment and/or Quality To all current Molina… more