Medical Director Risk Adjustment

Job DescriptionJob DescriptionPosition Summary:The Medical Director of Risk Adjustment is responsible and accountable for the performance of a specific region in terms of RAF score for all product lines that risk adjust and quality scores for all product lines. The Medical Director will be working with internal staff, larger and exclusive PCPs, and CFO to...

Job DescriptionJob DescriptionWe're partnered with a large HMO headquartered in Los Angeles to find a Full-Time Medical Director to lead a team of 10! As the leader of the Risk Department, you'll oversee a mixture of project managers and physician trainers, provide documentation education to contracted physicians, and ensure appropriate reimbursement...

Job DescriptionJob DescriptionWe're partnered with a large HMO headquartered in Los Angeles to find a Full-Time Medical Director to lead a team of 10! As the leader of the Risk Department, you'll oversee a mixture of project managers and physician trainers, provide documentation education to contracted physicians, and ensure appropriate reimbursement...

HCT seeks an experienced nursing professional to serve as the Interim Director of Risk for a 500+ bed hospital in California. Responsibilities include, but are not limited to:Daily operation of Risk Management and Patient Safety programs and initiatives including staffing, budget, employee engagement and survey readiness.Directing significant event...

Your Role The ACA Chart Program team conducts the following functions (1) identify medical records with unreported diagnosis codes, (2) retrieve those medical charts, (3) perform medical coding to convert them into risk adjustable diagnosis codes, and (4) submit to CMS via the EDGE pathway. The Risk Adjustment, Consultant will report to the Senior Manager....

Your Role   The ACA Chart Program team conducts the following functions (1) identify medical records with unreported diagnosis codes, (2) retrieve those medical charts, (3) perform medical coding to convert them into risk adjustable diagnosis codes, and (4) submit to CMS via the EDGE pathway. The Risk Adjustment, Consultant will report to the Senior...

Job DescriptionJob DescriptionPACE Medical DirectorAbout the Company:We are a quickly growing organization committed to providing the highest quality, cost-effective care for our PACE program participants. Our focus is on managing chronic illnesses in elderly patients by emphasizing preventative care. We believe in a patient-centered approach, keeping our...

Job DescriptionJob DescriptionPACE Medical DirectorAbout the Company:We are a quickly growing organization committed to providing the highest quality, cost-effective care for our PACE program participants. Our focus is on managing chronic illnesses in elderly patients by emphasizing preventative care. We believe in a patient-centered approach, keeping our...

**Job Summary** Reporting to the Director, Cyber and IT Risk within Group Risk Management Enterprise Resilience Risk (ERR), you will drive the Second Line of Defense engagement across all Regulatory Examinations and Regulatory Issue Issues Remediation. The work entails collaborating effectively with global Cyber and Technology Risk, Business Regulatory &...

The Santa Cruz County Personnel Department has an excitingopportunity for a Risk Manager to join our amazing team. We aresearching for an individual who is looking for an opportunity togrow their career in the area of risk management administration.This position reports to the Personnel Director and is a memberof a strong leadership team motivated to make...

Coordinate all enterprise risk management activities for the Bank Assisting the Enterprise Operations Risk & Governance Director in all areas of Risk: Liquidity, Market, Credit, Compliance, Financial Crimes Compliance, Human Resources, Information Te Risk Officer, Risk, Enterprise, Officer, Microsoft, Operations, Banking, Business Services

**Why USAA?**: Let’s do something that really matters. At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation’s military, but we all share in the mission to give back to those who did. We’re working as one to build a great...

Job DescriptionJob DescriptionSalary Range: $87,500 to $95,000 AnnuallySummary:Under the direct supervision of the Quality Management/Risk Management Director, the Quality Management/Risk Management Manager is responsible for providing management support to the Agency’s Quality Management/ Risk Management Program, to include The Joint Commission Ambulatory...

Position Title: Compliance and Risk Manager Status: Full-time, Exempt Department: Operations Position Reports to : Operations Director Position Summary: Under the supervision of the Operations Director, the Compliance and Risk Manager will work collaboratively with internal stakeholders and external regulatory agencies to ensure compliance and mitigate risk...

**Overview** If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us. We offer the following benefits to support you and your family: - Relocation Assistance. - Annual Incentive (Bonus) Program. - Matching Retirement Program. - Pension fully funded by the Hospital. - Tuition...

Job DescriptionJob Description MedPOINT Management (MPM)Department: Utilization Management (UM)Title Associate Medical Director SummaryThe Associate Medical Director is responsible for providing medical interpretation and decisions about appropriateness of services provided by other healthcare professionals in compliance with Utilization Management...

Job DescriptionJob Description MedPOINT Management (MPM)Department: Utilization Management (UM)Title Associate Medical Director SummaryThe Associate Medical Director is responsible for providing medical interpretation and decisions about appropriateness of services provided by other healthcare professionals in compliance with Utilization Management...

Position Details : Title: Risk Manager or Risk Management Specialist Location: Foothill Ranch, CA Shift: Mon-Friday 1st shift (8:30am – 5 or 6pm) Compensation: Risk Management Specialist ($65 - $75K + 5% AIP Bonus) OR a Risk Manager (salary range $80 - $90K + 10% AIP Bonus). Benefits: Attractive total compensation package; Flexible schedule; Comprehensive...

Potentia Search are currently partnered with a leading Veterinary Group looking to hire a Medical Director to oversee a fully-staffed Veterinary Practice. Responsibilites: Oversee the medical operations, ensuring the highest quality of care Provide training and mentorship Build relationships with the referring community Requirements: Doctor of Veterinary...

NBBJ is seeking a Medical Planning Director with experience in the design and planning of complex healthcare environments including large-scale hospitals and ambulatory care centers. Why this role is important to NBBJ:This is an opportunity to join a Director, Medical, Planning, Healthcare, Designer