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Reveleer
Bell Gardens, CA, United States
Vice President, Product Strategy & Solutions – Risk Adjustment Glendale, CA Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Revele
Job Source: ReveleerReveleer
Bell, CA, United States
Vice President, Product Strategy & Solutions – Risk Adjustment Glendale, CA Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Revele
Job Source: ReveleerConfidential
Los Angeles, CA, 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: ConfidentialLakeshore Learning Materials
Carson, CA, United States
At Lakeshore, we create innovative learning materials and world-class guest experiences for teachers, parents and children. Since 1954, we’ve grown into a global community—with a thriving e-commerce business, multiple catalogs, 60+ retail stores, a peerless national sales force, plus international offices that support our preeminent supply chain di
Job Source: Lakeshore Learning MaterialsCLevelCrossing
Torrance, CA, United States
The Swiss based **MEMBERS ONLY**SIGN UP NOW***. Group is a public, innovation-driven company specializing in the development and manufacturing of pepTides and oligonucleoTides. As a full service provider **MEMBERS ONLY**SIGN UP NOW***. offers products for clinical development and commercial applications as well as a comprehensive catalog and excl
Job Source: CLevelCrossingOaktree Capital
Los Angeles, CA, United States
Our Company Oaktree is a leader among global investment managers specializing in alternative investments, with $192 billion in assets under management as of March 31, 2024. The firm emphasizes an opportunistic, value-oriented, and risk-controlled approach to investments in credit, private equity, real assets, and listed equities. The firm has over
Job Source: Oaktree CapitalLakeshore Learning Materials
Carson, CA, United States
Company Description At Lakeshore, we create innovative learning materials and world-class guest experiences for teachers, parents and children. Since 1954, we’ve grown into a global community—with a thriving e-commerce business, multiple catalogs, 60+ retail stores, a peerless national sales force, plus international offices that support our preem
Job Source: Lakeshore Learning MaterialsConfidential
El Monte, CA, United States
Vice President, Manager, Data Risk About the Company Fast-expanding Sino-American bank Industry Banking Type Privately Held Founded 1962 Employees 1001-5000 Categories BankingFinanceFinancial Services Consulting & Professional Services Banking & Mortgages Banking Finance Holding Companies Specialties Personal Banking Investment Services Business
Job Source: ConfidentialLos Angeles, CA, 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 Los Angeles, CA, United States
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