- Dana-Farber Cancer Institute (Providence, RI)
- …We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design ... programs to promote public health particularly among high- risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate… more
- The University of Vermont Health Network (Burlington, VT)
- …supervision to group therapists; contribute to medical student and psychiatry resident education and training; provide consultation and limited direct service ... bonus will be paid out as a $2,500 pay adjustment in the first paycheck following the completion of...around behavior management and crisis stabilization; provide clinical supervision and training of psychology residents and… more
- Baystate Health (Springfield, MA)
- …care practice staff to schedule annual comprehensive visits. Assists with coordinating risk adjustment education and performance improvement projects. ... The Prospective Outpatient Risk Adjustment Coder supports risk...chronic conditions in the medical record, collecting data around provider documentation and coding practices, and identifying opportunities to… more
- Atrius Health (Newton, MA)
- …Team, participating in creating and implementing new initiatives for Atrius Health risk adjustment programs. EDUCATION /LICENSES/CERTIFICATIONS Graduate of a ... locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to more than 720,000 adult...added. Acts as a mentor and role model to Risk Adjustment Specialist RNs assuring that they… more
- Atrius Health (Newton, MA)
- …Team, participating in creating and implementing new initiatives for Atrius Health risk adjustment programs. EDUCATION /LICENSES/CERTIFICATIONS Graduate of a ... welfare benefit package. **Job:** **Professional Non-Clinical* **Organization:** **Administration* **Title:** * Risk Adjustment Specialist* **Location:** *Newton MA -… more
- Centene Corporation (Columbia, SC)
- …an educational work plan for WellCare contracted providers. + Conduct provider education and training regarding risk adjustment to help to ensure ... knowledge of Medicare, Marketplace, and Medicaid risk adjustment is required. Provider education ...Medicaid risk adjustment is required. Provider education experience is preferred. **Licenses and… more
- Centene Corporation (Yuma, AZ)
- …an educational work plan for WellCare contracted providers. + Conduct provider education and training regarding risk adjustment to help to ensure ... knowledge of Medicare, Marketplace, and Medicaid risk adjustment is required. Provider education ...Medicaid risk adjustment is required. Provider education experience is preferred. **Licenses and… more
- CVS Health (Hartford, CT)
- …+ Knowledge of government-regulated healthcare programs such as Medicaid or Medicare + Risk Adjustment experience/knowledge Education + Bachelor's Degree or ... a Senior Informatics Manager to join our dynamic Medicaid Risk Adjustment Analytics team! In this role...Adjustment Analytics team! In this role you will provide complex analytics and reporting to address business questions… more
- Apex Health Solutions (Houston, TX)
- …and compliance with risk adjustment requirements. Reports to: AVP, STARs & Risk Adjustment Location: Houston, TX EDUCATION : * High School Diploma or ... SUMMARY: Risk Adjustment Coder is responsible for...of medical records requests for all risk adjustment projects. * Performs telephonic outreach to provider… more
- The Cigna Group (Bloomfield, CT)
- …Stars gaps in care. The role will work under the direction of Risk Adjustment & Stars Provider Education Supervisor and/or Manager to reach overall ... operational market. The role will be accountable for assigned provider groups reaching risk adjustment ... office diagnosis coding. Implement provider office education , where necessary, and provide formal training… more
- Centene Corporation (El Paso, TX)
- …sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment . Provides education for HEDIS measures, appropriate ... and NCQA requirements. + Collects, summarizes, trends, and delivers provider quality and risk adjustment ...encounters). + Identifies specific practice needs where Centene can provide support. + Develops, enhances and maintains provider… more
- Humana (Frankfort, KY)
- …for improving health outcomes and advancing the care experience of our members and provider partners through integrated risk adjustment (RA) and quality ... and technology to empower members, providers, and Humana. The Risk Adjustment Prospective Provider Programs...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Point32Health (Canton, MA)
- …updates, discuss strategic initiatives and improvement opportunities + Work collaboratively with risk adjustment provider educators and the quality assurance ... team to focus the provider training and education specifically related to... provider outreach and ongoing communications/reporting for all risk adjustment programs and initiatives. Serve as… more
- Tufts Medicine (Burlington, MA)
- … documentation. Summarizes findings for internal and external parties and will provide provider education when necessary. **Job Description** **Minimum ... lead efforts to evaluate the HCC/DxCG coding practices and provide analyses and recommendations to improve overall provider...provider documentation as it pertains to coding and risk adjustment guidelines. Reviews medical records to… more
- Somatus (Mclean, VA)
- …provider Network Management and the Quality Program to implement tactics for risk adjustment optimization, particularly for provider and member engagement ... well-being + Community engagement opportunities + And more! The Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation… more
- LA Care Health Plan (Los Angeles, CA)
- …and to support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III will provide a key leadership role in ... course of action. This position will work in collaboration with the Enterprise Risk Adjustment department leadership and provide leadership/guidance in… more
- CVS Health (Hartford, CT)
- …for provider /vendor/network outreach, production management, and reporting for the Risk Adjustment Retrospective Program for ACA, Medicare, MMP and DSNP ... . You will also perform statistical analyses to generate risk adjustment reporting and provide ...provider /vendor/network outreach, production management, and reporting for the Risk Adjustment Retrospective Program for ACA, Medicare,… more
- CVS Health (Atlanta, GA)
- …communication, organizational, and interpersonal skills. Preferred Qualifications CRC (Certified Risk Adjustment Coder) preferred. Education AA/AS ... SummaryResponsible for performing audit and abstraction of medical records ( provider and/or vendor) to identify and submit ICD codes...Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes. Diagnosis codes must be… more
- Centene Corporation (Carson City, NV)
- …an educational work plan for WellCare contracted providers. + Conduct provider education and training regarding risk adjustment to help to ensure ... Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate… more
- AdventHealth (Altamonte Springs, FL)
- **Coding Specialist Risk Adjustment ** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Career Development + Whole ... **Job Location** : Virtual **The role you'll contribute:** The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective and… more
