- Humana (Harrisburg, PA)
- …community and help us put health first** As a Program Delivery Lead specializing in Risk Adjustment Strategic Partnerships, you will lead the development and ... external partners (eg, Kidney Team, Group Medicare). + Support HQRI strategic engagements, representing risk adjustment across new member initiatives and PPO… more
- BlueCross BlueShield of North Carolina (NC)
- …evaluate and lead the implementation of Risk Adjustment strategic initiatives, provider reimbursement and partnership strategies to meet BCBSNC's growth ... of degree, 10+ years of experience in related field **Nice to Have** * Prior Risk Adjustment Operational/Analytical experience * Knowledge of MA and ACA Risk … more
- Martin's Point Health Care (Portland, ME)
- …+ Sets the vision and strategic plan for prospective programs to drive risk adjustment and quality value. + Facilitates network provider partnerships for ... risk adjustment managers/directors; creates and delivers on provider ...monitors department adherence to policies and procedures. + Provides strategic insight and oversight of key regulations and guidance,… more
- CenterWell (Carson City, NV)
- …our caring community and help us put health first** The Associate Director, Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, ... other payers, and over government agencies. In addition, the Associate Director, Risk Adjustment oversees all medical coding education activities. The Associate… more
- Bristol Myers Squibb (Princeton, NJ)
- …and data driven approach. + Drives ongoing quality risks assessment and evaluation of strategic and operational risk in RDQ in collaboration with R&D Quality GxP ... in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Director, Risk Based Quality Management leader will work closely with the R&D… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary** Senior Director, Risk Management and Central Monitoring Position is a critical member ... of the Clinical Oversight and Risk Management Leadership Team and accountable to develop and...of clinical trials through monitoring and data oversight. Key strategic and tactical activities include the execution of the… more
- Bristol Myers Squibb (Princeton, NJ)
- …needs of the business. + Actively and proactively manage the risks and develop risk mitigation plans for risks identified in partnership with the business unit. ... with key business leaders and lead our BMS Cell Therapy Direct Materials strategic sourcing team to ensure BMS Cell Therapy direct materials supply base meets… more
- Healthfirst (NY)
- …across lines of businesses, such as finance, clinical, medical economics, operations, risk adjustment , and population health strategy to implement Medicare ... related to one or more specific Medicare performance areas such as Risk Score Accuracy, Medicare Clinical Programming and Operations, Provider Performance, Medical… more
- Conviva (Tallahassee, FL)
- …of how 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
- Conviva (Tallahassee, FL)
- …fosters collaboration across entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more