- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior Manager is responsible for overseeing staff, operations and resources within Mount Sinai Beth Israel Materials Management department, ... administrative, financial operations and high employee engagement. The Senior Manager ensures that the department is run according to...system, and MMIS reports, as necessary to ensure proper adjustment of PARs and upkeep of all signage and… more
- Centene Corporation (Austin, TX)
- …with claims payment, member eligibility, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... must live in Eastern or Central Time Zone. **Position Purpose:** The Manager , Healthcare Analytics drives the execution of analytics strategy through the discovery,… more
- Hartford HealthCare (Farmington, CT)
- …observed to expected ratio (O:E), capture of appropriate severity of illness (SOI) and risk of mortality (ROM), risk adjustment and hierarchal condition ... capture (HCC) codes, risk adjustment , and other high quality documentation outcome measures. ....plans as indicated, report trends and concerns to CDI Manager **Other Management** . Contributes to the efficient operation… more
- Mount Sinai Health System (New York, NY)
- …for driving key population health goals including access, quality, utilization and accurate risk adjustment with a group of practices and (2) close partnership ... with the CDQI Director to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing physicians, medical… more
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