- CVS Health (Hartford, CT)
- … Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk Adjustment , the Market Manager of ... - 2+ years of experience in the health care industry, Medicaid operations , risk adjustment , or medical coding and documentation preferred- Knowledge of… more
- Corewell Health (Grand Rapids, MI)
- …Three (3) to five (5) years' experience in the healthcare setting, preferably in Risk Adjustment or Medicare/ACA Operations with design and program ... Job Summary As a key leader in the Risk Adjustment team, the successful candidate...include but are not limited to: + Develop prospective operations and track trending with month over month and… more
- LA Care Health Plan (Los Angeles, CA)
- … department operations . Chief Architect for reporting and analytics in support of Risk Adjustment operations for multiple lines of businesses. Serves as ... Enterprise Risk Adjustment Analyst III Job Category:...relates to reimbursement reporting requirements. Brings identified concerns to Manager with recommendations for resolution. Applies subject expertise in… more
- The Cigna Group (UT)
- ** Risk Adjustment Provider Educator** **_Incumbent_** **_candidate must reside in assigned territory and have the ability to travel to the local office and ... This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in...role will work under the direction of Provider Education Manager to reach overall operational market goals in conjunction… more
- CVS Health (Dover, DE)
- … Adjustment experience Medicare, IFP, and/or Medicaid + Core understanding of Risk Adjustment operations + Management consulting, business process ... convenient and affordable. Position SummaryThe Revenue Integrity (RI) Sr. Manager , Business Consultant ( Risk Adjustment )...Revenue Integrity (RI) Sr. Manager , Business Consultant ( Risk Adjustment ) is responsible for the management… more
- Point32Health (Canton, MA)
- …this individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD) including risk adjustment ... and timely resolution of production issues pertaining to CMS and risk adjustment data submission, including issue investigation, business requirements,… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with physicians and ... medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure...do not meet quality standards. + Examples of missed operations missed opportunities. + Examples of clinical that ensure… more
- ChenMed (Miami, FL)
- …Disease Detection (HRDD) Manager will be responsible for supporting the company Risk Adjustment program and ensuring that risk exposures and ... non-clinician office staff on coding guidelines, documentation standards, and appropriate Medicare Risk Adjustment (MRA) procedures. + Assists in education and… more
- Bloomberg (New York, NY)
- Portfolio and Risk Analytics Solutions (PORT) Account Manager , Enterprise Sales - Bloomberg Financial Solutions **New York, NY** Posted Apr 2, 2024 - Requisition ... our customers and employees alike. Our team comprises several key pillars: sales, service, operations , culture and brand. As a department, we are united by a common… more
- Inspire Brands (Atlanta, GA)
- …experience in IT SOX (ITGC and ITAC), SOC 1/2/3 audits/reports, IT Governance, IT Risk , IT Audit, IT Operations or related fields + Proven track record ... embarked on an exciting journey at Inspire Brands to reimagine our Enterprise Risk and Internal Audit functions to align with Inspire's strategic objectives. The … more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **TITLE** Risk Manager **DEPARTMENT:** Clinical Quality & Safety **REPORTS TO:** Regional ... to who we say we are. **POSITION SUMMARY** The Risk Manager is responsible for the implementation...+ Participates in evaluation of claims for settlement /or risk adjustment within ministry authority. Advises billing… more
- Lockheed Martin (Bethesda, MD)
- …and Omissions Liability, Cyber Liability, some Workers' Compensation etc\. and providing general risk management support as Risk Manager to the Missiles ... **Basic Qualifications:** \- Minimum 10 years of experience in corporate risk management, insurance brokerage, or insurance company operations \. \-… more
- Inspire Brands (Atlanta, GA)
- … and Internal Audit functions to align with Inspire's strategic objectives. The Manager , Enterprise Risk and Internal Audit, will have the exciting opportunity ... This role will report directly to the Director, Enterprise Risk & Internal Audit - Finance, who reports to...that will drive end to end remediation and strategic adjustment + Provide valuable and actionable insights that help… more
- The Cigna Group (Westerville, OH)
- …between Markets and Provider Performance Enablement teams, Provider Education, and the Risk Adjustment Operations teams. The Prospective Program Solutions ... role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall...conjunction with market Provider Performance Enablement teams and the Risk Adjustment Operations team. The… more
- AdventHealth (Maitland, FL)
- …to developing the overall structure and operations to support programs in Risk Adjustment coding, CDI review, working on Electronic Medical Record tools, ... incentive programs, and develop and lead a broad and diversified range of risk adjustment coding services for the AdventHealth Population Health Ri Clinical… more
- HCA Healthcare (Campbell, CA)
- …. Minimum 1 year experience with HCC coding and risk adjustment Physician Services Group (https://careers.hcahealthcare.com/pages/physician-services) is skilled ... Today! **Job Summary and Qualifications** Reporting to the Sr. Manager , Quality Improvement & Risk Management, the...in physician employment, practice and urgent care operations . We are experts in hospitalist integration, and graduate… more
- Bloomberg (Totowa, NJ)
- Data Center Project Manager - Workplace Operations & Supply Chain **Totowa, NJ** Posted Feb 26, 2024 - Requisition No. 123417 The energy of a newsroom, the pace ... Node Sites in North and South America. We are seeking a Data Center Project Manager to lead and support Data Center Construction Projects in New Jersey. The Data… more
- New York State Civil Service (New York, NY)
- …No Agency Financial Services, Department of Title Virtual Currency Financial Crime Risk Associate (FSS4 Fin Crime Risk ) Occupational Category Other Professional ... Compliance; ABA Certificate in Fraud Compliance; Certified Regulatory Compliance Manager .* CSBS: Certified Anti-Money Laundering Specialist.* Demonstrated experience with… more
- Atlantis Casino Resort Spa (Reno, NV)
- **Overview** Come join Team Atlantis! We are currently accepting applications for Risk Supervisor. The Risk Supervisor, as with all members of the Atlantis ... at all levels. **Shift:** Varies **Responsibilities** + Assist the Manager in operation of the Race and Sports Book,.... + Monitor all current game markets and make adjustment were necessary. + Manage multiply game markets simultaneously… more
- HCA Healthcare (Brentwood, TN)
- **Description** This position is incentive eligible. **Introduction** The Regional Coding Operations Manager (RCOM) is responsible for assisting in the ... or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience...Do you want to work as a(an) Regional Coding Operations Manager WFH where your passion for… more