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Staff VP Prospective Risk Adjustment

4 months ago


Tulsa, United States Pailin Group Psc Full time

Instill governance to ensure complete and accurate diagnosis codes are identified and submitted to CMS for all members for risk adjusted payment. Ensure timely, accurate, and complete submission of risk adjustment data to CMS and reconciliation of plan payments. Oversee internal and vendor processes, controls, and reporting, ensuring effective processes are in place throughout the organization. Digital Transformation - Ambitious steps to implement digital go to market solutions to engage closer with the grower, support the entire ag value chain including deploying precision ag technology, financial services, advisory, and e-commerce. This role will work with sub-regional P&L leaders and drive this digital vision. This person reports to the Networking Services Manager and will be responsible for the management of the Systems Engineering Team, leading the design, implementation and management of Corporate Infrastructure including Server and Virtualization Platforms, Identity and Access Management, Public and private Cloud, as well as Data Protection. The Director position will be responsible for leading the Network Support Operations organization which includes such functions as National Network Operations Center, Incident, Problem, Change and Release Management, and Project Management for Core Operations. The position will develop, lead and align the execution of both short term tactical initiatives and long-term strategies which will facilitate the organization’s ability to meet or exceed key service metrics. The Director will exhibit insight, innovation, and leadership to drive multiple strategies resulting in continuously improving quality and customer experience satisfaction. Margin Trading is a front office client facing group within Prime Brokerage/Equity Financing tasked with enhancing the decision making process that goes into the allocation of scarce financial resources with a view of optimizing the prime brokerage business's risk adjusted returns. The Vice President & GM, Commercial Operations is responsible for the execution and operation of all OEM business for the Connected Vehicle Division. This position maintains oversight of all of the Client Success Executives (CSEs) who are individually responsible for the strategic connected vehicle relationship and business development with one or more OEMs. The Commercial Operations team is also responsible for managing a product management team that is directly responsible for the definition and execution of OEM program requirements, change requests and any other program changes. The Sr. Manager of Global HR Strategy & Planning is a critical team member to the success of the HR function. You will work closely with the Global HR Strategy & Planning leader, as well as the global HR leadership team and extended HR function. You will be creative & define sustainable solutions that meet the needs of our HR team members around the world, while ensuring alignment with the enterprise business strategy. The Director position will be responsible for leading the Network Support Operations organization which includes such functions as National Network Operations Center, Incident, Problem, Change and Release Management, and Project Management for Core Operations. The position will develop, lead and align the execution of both short term tactical initiatives and long-term strategies which will facilitate the organization’s ability to meet or exceed key service metrics. The Director will exhibit insight, innovation, and leadership to drive multiple strategies resulting in continuously improving quality and customer experience satisfaction. The Senior Director, will be responsible for running the web hosting business which hosts thousands of websites for member florists. The Senior Director, will oversee a team of ecommerce professionals specializing in product, operations, support and marketing. The team aims to grow the number of sites hosted for florists and to optimize existing site performance through various measures including SEO, SEM, email marketing, ongoing platform enhancements and excellent customer service.

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