outcomes including HEDIS, STAR and risk adjustment scores -Financial & Contract Alignment: Accountability for payer strategy...Overview JOB SUMMARY The Director of Value-Based Care (VBC) Programs is responsible for setting and leading the...
communities and residents and to support the safety net required to achieve that purpose. Job Summary The Director, Claims... Administration, governs enterprise outcomes and risk controls, introducing a preventative orientation and regulatory accountability...
commitment to transforming cancer care. Position Responsibilities In the role as a Senior Director in Discovery Biology, the... into clinical development. Excellent strategic thinking skills, consistently weighing risk, benefit, and tradeoffs to guide sound...
Incorporated. WE BELIEVE IN THE TRANSFORMATIONAL POWER OF COMFORT Job Summary: The Sr Director of Retail Finance is the FP..., enabling delivery of current year objectives and long-term strategic goals. The Sr Director drives financial leadership...
exercises post-adjustment. Leadership & Clinic Director Track — grow into regional leadership without having to purchase... to clinic outcomes & growth (Not per adjustment) Full medical, dental, vision + PTO, holidays, life/disability insurance...
outcomes including HEDIS, STAR and risk adjustment scores -Financial & Contract Alignment: Accountability for payer strategy...Overview: JOB SUMMARY The Director of Value-Based Care (VBC) Programs is responsible for setting and leading the...
, bundled payments). Familiarity with healthcare data sources, including claims data, risk adjustment, and healthcare cost...Drive HEOR strategy and guide the insights that influence global market access. R&D Partners is seeking a Director...
documentation that supports quality outcomes, severity of illness, risk adjustment, and appropriate reimbursement. The CDI...CDI Regional Director Employment Type: Direct Hire Work Environment: Fully Remote (National Travel...
Job Category: Claims Center Adjusting Job Description: The REH TPA-Oversight Claims Director is responsible... for investigating and settling high exposure, high risk claims while ensuring a high level of customer service and claim file quality...
across our Professional Audit, Revenue Cycle, Risk Adjustment, and CDI service lines, supporting both day-to-day execution and strategic..., and risk adjustment services. Forecast, strategic plan, and set goals to ensure growth and viability of the department based...
more: . Position Summary The Senior Director, Program Management Lead (individual contributor) is assigned to high priority... for each asset indication within approved systems. Timelines should include scenario plans that actively manage risk, evaluate...
analytics) Familiarity with healthcare risk adjustment models such as HCC and CDPS Familiarity with claims groupers...The Director, Analytics will lead the organization's analytics strategy and execution, ensuring data-driven insights...
and have responsibility to develop and grow health plan business to exceed sales goals for Vatica Health and Cozeva's risk adjustment... as required, including scheduling required executive meetings at and attend key industry trade events (e.g., AHIP, RISE, Risk Adjustment...
risk adjustment activities as needed. Is conversant with Health Plan key performance metrics, in particular utilization... as a "Great Place to Work" since 2015. Position Summary The Medical Director (MD) provides clinical leadership and direction...
and trusted executive advisor, owning multi-product engagements across risk adjustment, quality, analytics, and clinical programs.... Client Outcomes, Value Realization & Growth Ensure clients achieve measurable outcomes across risk adjustment, quality...
more: . Position Summary: The Director, People Organization Strategy & Operations (S&O) for Global Product Development & Supply (“GPS... projects and people initiatives aligned with the long-term people and business strategy. The Director S&O will provide...
Director will contribute to advancing AARP’s mission and delivering social impact by leading the development, execution.... The Director will lead a cross-functional team to deliver measurable outcomes, achieve program goals, and provide value...
and managing Health Language content—including value sets and clinical decision support (CDS) rules—to enable risk adjustment..., mappings, hierarchies) for risk adjustment workflows. Develop CDS and documentation rules to guide providers toward accurate...
more: . The Executive Director, Drug Development AI-Enablement will lead the development and execution of a Digital, Technology..., budgets, and risk mitigation strategies from initiation through completion. Establishes and tracks performance indicators...
more: . The Executive Director, External Insight and Innovation will lead business development and external innovation strategy... diligence across business development opportunities for drug development, ensuring thorough assessment and risk mitigation...