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Confidential
Philadelphia, PA, United States
Vice President of Quality & Risk Adjustment About the Company Well-established healthcare organization Industry Hospital & Health Care Type Privately Held About the Role The Company is seeking a Vice President of Quality and Risk Adjustment with a strong background in driving value-based healthcare initiatives, improving patient outcomes, and opt
Job Source: ConfidentialConfidential
Philadelphia, PA, United States
Vice President, Quality About the Company Mission-driven pharmaceutical company Industry Pharmaceuticals Type Non Profit Founded 2018 Employees 51-200 Categories Pharmaceuticals Manufacturing Health Care Non-Profit & Philanthropy Pharmacy Medicine Chemical Products About the Role The Company is seeking a Vice President Quality for its retail phar
Job Source: ConfidentialBank of New York Mellon Corporation
, PA, United States
Bring your ideas. Make history. BNY Mellon offers an exciting array of future-forward careers at the intersection of business, finance, and technology. We are one of the world's top asset management and banking firms that manages trillions of dollars in assets, custody and/or administration. Known as the “bank of banks” - 97% of the world’s top ban
Job Source: Bank of New York Mellon CorporationConfidential
Philadelphia, PA, United States
Vice President, Quality & Controls Assurance About the Company Large community-based healthcare organization Industry Hospital & Health Care Type Non Profit Founded 2003 Employees 1001-5000 Categories Health Care Hospital Non-Profit & Philanthropy Community Health Senior Care Healthcare Medical Care Behavioral Science Support Affordable Healthcare
Job Source: ConfidentialConfidential
Philadelphia, PA, United States
Senior Vice President, Clinical Operations About the Company Renowned pharmacy benefits platform & care services provider Industry Hospital & Health Care Type Subsidiary of a Public Company Founded 2011 Employees 10,001+ Categories Analytics EdTech Education Health Care Medical Health & Wellness Healthcare Hospitals & Clinics Software Software Dev
Job Source: ConfidentialChubb
Philadelphia, PA, United States
Job Description The AVP will work in Chubb's Enterprise Risk Management Unit to help advance Chubb's capabilities in Cyber risk management and catastrophe modeling, by advancing our understanding of the drivers and impacts of Cyber catastrophe risk. Successful candidates will demonstrate strong critical thinking skills, creativity, and potential f
Job Source: ChubbInizio Group
Philadelphia, PA, United States
Research Partnership (part of Inizio Advisory) is one of the world's largest pharma market research and consulting agencies with over 250 researchers, consultants, project managers and support staff. Our teams are located across the globe, in Europe (London, Lyon), North America (New York, Philadelphia, San Francisco) and Singapore. As individuals
Job Source: Inizio GroupCLevelCrossing
Philadelphia, PA, United States
About UsAt Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the m... DescriptionHumana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose
Job Source: CLevelCrossingPhiladelphia, PA, United States
Vice President of Quality & Risk Adjustment
About the Company
Well-established healthcare services company
Industry
Hospital & Health Care
Type
Privately Held
About the Role
The Company is in search of a Vice President of Quality and Risk Adjustment with a strong background in driving value-based healthcare initiatives, enhancing patient outcomes, and maximizing cost efficiencies through the use of technology. The successful candidate will be a key leader in the optimization of quality and risk adjustment, both internally and in collaboration with clients and partners. Responsibilities include overseeing and enhancing quality, monitoring regulatory compliance, evaluating quality measures, and maintaining a deep understanding of major healthcare quality measure sets. The role also involves research on quality data sources, understanding healthcare quality drivers, and being familiar with clinical information system capabilities.Applicants for the Vice President position should have 5-10 years of experience in healthcare quality measure development, research, or reporting, and hold a Bachelor’s or Master’s degree in a relevant field. A deep understanding of value-based care, patient outcome improvement, and cost efficiency is essential, as is a progressive career in quality and risk adjustment. The role requires expertise in quality measure construction, data issues in quality data collection, and validation, as well as in coding, HCCs, and risk adjustment. An expert level of knowledge of Medicare and risk-based reimbursement methodologies, along with the ability to interact effectively with physicians and business leaders, is also necessary. Professional coding or risk adjustment certification is preferred.
Travel Percent
Less than 10%
Functions
Operations
Medical Care/Hospital Administration
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Email Alert for Vice President of Quality & Risk Adjustment jobs in Philadelphia, PA, United States
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