- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of ... Medicare Risk Adjustment and Analytics. This role will manage the process...and accurate medical record documentation and coding. The Program Manager will contribute to the development of strategies and… more
- Corewell Health (Grand Rapids, MI)
- …states are not eligible for remote work (CA and NY). Positioned in the Risk Adjustment Department, the Manager , Risk Adjustment Analytics will be responsible ... ability to communicate effectively to internal and external constituents. As Manager , Risk Adjustment Analytics - your role will be critical towards the success… more
- Datavant (Lincoln, NE)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy ... and execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
- LA Care Health Plan (Los Angeles, CA)
- Risk Adjustment Strategies and Initiatives Analytics Program Manager II Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives ... required to achieve that purpose. Job Summary The Risk Adjustment Strategies and Initiatives Analytics Program Manager ...Risk Adjustment Strategies and Initiatives Analytics Program Manager II plays a valuable role in executing high-impact… more
- Trinity Health (Albany, NY)
- …+ Identifies learning opportunities for healthcare providers and coders and reports to the Manager of Risk Adjustment Coding & Audit to develop and implement ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Risk Adjustment Auditor Educator** -St. Peter's Health Partners - Full-time - Remote… more
- Insight Global (Tallahassee, FL)
- …monthly close deliverables such as IBNR, membership, revenue reporting, and risk adjustment accruals. The manager will also develop membership, revenue, and ... Job Description Day to Day: The Sr Pricing Manager is responsible for planning and executing the...the annual budget for commercial lines and optimize risk adjustment revenue through data submission, validation, chase list development,… more
- Justice, Bureau of Prisons/Federal Prison System (TX)
- …live within the complex family circumstances and assist him in developing new adjustment techniques. The Case Manager helps the offender view problems ... of a varying nature. This counseling deals with institutional adjustment , US Parole commission, release planning, and interpersonal communications, individual… more
- Justice, Bureau of Prisons/Federal Prison System (Fort Worth, TX)
- …live within the complex family circumstances and assist him in developing new adjustment techniques. The Case Manager helps the offender view problems ... of a varying nature. This counseling deals with institutional adjustment , US Parole commission, release planning, and interpersonal communications, individual… more
- UPMC (Pittsburgh, PA)
- …strategies that will improve their quality of patient care and maximize risk adjustment revenue. + Assist Senior Manager in development of education objectives ... for a Physician Educator position in the HCC Risk Adjustment Department. This is a full-time position working Monday...documentation in the medical record and the various risk adjustment models of payment. The Physician Educator is responsible… more
- Point32Health (Canton, MA)
- …health assessments, prospective data decision support and other new programs for the Risk Adjustment department. The Sr. Program Manager will also help to lead ... are at Point32Health (https://www.point32health.org/) . **Job Summary** The Sr. Program Manager will be responsible for the implementation, execution and general… more
- Elevance Health (Woodbridge, NJ)
- **Medicare Risk Adjustment Advanced Analytics Analyst** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The **Medicare Risk Adjustment Advanced Analytics Analyst** is responsible for employing advanced analytics to gain… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, 90017 ... the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key leadership role in the Risk Adjustment … more
- Elevance Health (Louisville, KY)
- **Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The **Medicare Risk Adjustment Advanced Analytics Consultant** is responsible for employing advanced analytics to… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Risk Adjustment Revenue Director (Remote/Hybrid) **Cost Center:** 682891390 SHP-Strategic Finance **Scheduled ... 40 Normal (United States of America) **Job Description:** **JOB SUMMARY** The Risk Adjustment Revenue Director is a finance leader responsible for risk adjustment… more
- Ankura (New York, NY)
- …EOBs, 837/835 data, and payer denial information + Works with the Project Manager to analyze and understand client concerns and develop project work plans + ... Communicates findings of concern with the team and Project Manager as they are identified + Utilizes creative problem-solving...Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of… more
- WGNSTAR (De Soto, KS)
- …all corporate safety protocols and report unsafe conditions. + Assist Adjustment Technicians with routine installations and/or maintenance on assigned products. + ... to QA / QC check sheet, report creation, and submission to Installation Site Manager . + Attend daily field start-up meetings. + Work with minimum supervision, as… more
- KeyBank (Amherst, NY)
- …associates specialize in Research and Adjustments, Account Analysis and KeyAccounts Manager support our clients across the team's broad areas of responsibility. ... of responsibilities and duties * Performs basic routine tasks assigned by manager with little autonomy. May provides service in relation routine billing inquiries,… more
- US Foods (Ogden, UT)
- …Sales, and Merchandising on the Key Outcomes and actions to achieve Inventory Adjustment results. + Other duties assigned by manager . **SUPERVISION** : + ... SITE (https://www.myworkday.com/usfoods/d/task/2998$47185.htmld) Join Our Community of Food People! The Manager , Inventory Control is responsible for managing inventory and… more
- Beth Israel Lahey Health (Cambridge, MA)
- …11. Identifies inactive and outdated items and forwards inventory corrections and adjustment requests to the manager for approval. Reviews stock status ... with manager to identify items for deletion or inventory reduction. 12. Maintains records, reports, statistics, and files by department, as required. 13. Assists in training new employees, and orients them to the policies and procedures of the hospital and… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** The Manager , Provider Engagement establishes strategies and operational directions for risk adjustment and quality ... Sets and manages performance goals, ensuring providers meet quality and risk adjustment targets through coaching and consistent engagement. Tracks and measures the… more