- Point32Health (Canton, MA)
- …with our corporate and business division goals. This position will report to the Director of Risk Adjustment Strategy, Operations and Quality Assurance. ... Point32Health (https://www.point32health.org/) . **Job Summary** This position will lead the Risk Adjustment Operations & Provider Consulting team responsible… 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
- Mount Sinai Health System (New York, NY)
- …adjustment with a group of practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system. This ... hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially our patients covered… 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 Risk Adjustment -like projects, and other state specific audit projects and deliverables related to… more
- Avera (Sioux Falls, SD)
- …and 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
- Datavant (Topeka, KS)
- …strategies. The ideal candidate will have a deep understanding of value-based care, risk adjustment , and the healthcare provider ecosystem ( risk -bearing ... **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to...as a trusted advisor, demonstrating a strong understanding of risk adjustment , HCC coding, and value-based care… more
- Basin Electric Power Cooperative (Bismarck, ND)
- Job Title: DIRECTOR /MANAGER, RISK & INSURANCE (DOE) Posting Start Date: 10/3/25 Job Description: **POSITION PURPOSE** This position is open to varying levels of ... risk of loss, planning, managing, and coordinating risk regarding the property, Director and Officer...SKILLS** + Knowledge of property and casualty insurance, claims adjustment , and risk analysis. + Proficient with… more
- Catholic Health Initiatives (Little Rock, AR)
- …for the value hub. + Through Risk Management/Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas and Kentucky CIN. + ... CIN/Population Health Management experience required + Must have experience with risk adjustment coding and value based reimbursement models of payment +… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Structured Benefit- Risk Assessment (SBRA) Lead will report into the Structured Benefit- ... Risk Assessment Head within Safety Evidence and Sciences and...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …team responsible for maintaining, executing, and evaluating initiative impacts using the risk adjustment and quality analytics models across ACA Commercial, ... of data submissions for ACA Commercial, Medicare, and Medicaid risk adjustment and quality programs. * Design...Education Required Required Skills and Experience * Accepting this director level position at BCBSMN requires signing an Employee… more