- Usaa (Savannah, GA)
- …May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces. May need to meet all USAA safe ... driving requirements including verification of driving record through MVR & possession of valid drivers license. May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car. May require the ability to… more
- Fresenius Medical Care (Stockton, CA)
- …social work practice. Works with the health care team to promote positive adjustment , rehabilitation and improved quality of life for our patients. In collaboration ... clinic in regard to the patient needs for scheduling to maximize adherence and adjustment The Social Worker will interview the patient to identify root causes or… more
- Senior Care Therapy (Bronx, NY)
- …of emotional and behavioral health conditions, including depression, anxiety, adjustment disorders, and cognitive decline. Develop and implement evidence-based ... care, or geriatric healthcare setting. History of treating Anxiety, Depression and Adjustment Disorders. Psych or Addictions experience is a plus. Excellent time… more
- Crown Cork & Seal USA, Inc. Careers (Hanover, PA)
- …labeling of waste barrels. Perform Equipment Set-up Evaluations (ESE) on LSMs after adjustment or changes are made. Monitor and assist other production processes on ... the Back End to ensure a constant flow of cans into and through the LSM process. Performs other job-related duties as required or assigned Qualifications: In addition to the specific responsibilities listed above, the ideal candidate will possess the… more
- US Tsubaki Automotive, LLC (Portland, TN)
- …expected to be performed. Maintain tensioner machining equipment example: tooling adjustment , presetting, and pm etc. Ability to troubleshoot basic machine issues ... Maintain quality of the parts Ability to check parts to meet quality standard Ability to read small quality testing equipment example: calipers, mics, microscope, etc. Ability to read a part print. Ability to run one line at a time Requirements: High school… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment ... end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products. **ESSENTIAL FUNCTIONS:**… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer ... us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play...in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external partners.… more
- Ankura (New York, NY)
- …and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice and firmwide business ... + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for clients. + Oversee and conduct… more
- Point32Health (Canton, MA)
- …(https://www.point32health.org/) . **Job Summary** This position will lead the Risk Adjustment Operations & Provider Consulting team responsible for the department's ... engagement and consultation activities supporting the complete and accurate capture of risk adjustment data. To be successful, the Manager will need to rely on… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key ... risk adjustment performance metrics through coordination of analytical processes, investigation...of analyses to improve awareness and understanding of risk adjustment results and quality, accuracy and identification of member… more
- Elevance Health (West Des Moines, IA)
- **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement:** **Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... unless an accommodation is granted as required by law._ The **Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible for completing projects… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... key risk adjustment performance metrics through coordination of analytical processes, investigation...of analyses to improve awareness and understanding of risk adjustment and identification of member health conditions. + Understand… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate coding strategy across Medicare ... conditions from the accurate collection, submission, and validation of risk adjustment data. Ensuring compliance with regulatory standards that ensure accurate and… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION ... PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment and...(CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written… more
- Centene Corporation (Jefferson City, MO)
- …anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the auditing and ... issues. Facilitates and leads external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out...audit requirements and deadlines. + Serves as a risk adjustment external audit resource and liaison on external audit… more
- Centene Corporation (Jefferson City, MO)
- …United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1 oversight. Reviews ... and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical documentation gaps, assesses risk levels,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment ... and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior coding specialists are… more
- Molina Healthcare (Mesa, AZ)
- …Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate ... identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not… more
- MVP Health Care (Schenectady, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Risk Adjustment Analyst** to join #TeamMVP. This is the opportunity for you if you ... and retrospective objectives in population health management including focus on Risk Adjustment efforts. + Design targeting based upon disparate data sources to… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- The **Risk Adjustment & Quality Division at BCBST** is seeking a skilled **Risk Adjustment Medical Record Coder** to support our mission of delivering accurate ... in accordance with BCBST policy\. **Preferred Qualifications:** + CRC \(Certified Risk Adjustment Coder\) certification is a plus\. If not currently certified, you… more
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