- CVS Health (Hartford, CT)
- …and some workdays from home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, ... from home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, Medicare, MMP and… more
- CVS Health (Hartford, CT)
- …We have an outstanding opportunity for an enthusiastic team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. ... Reporting to the Lead Director of Medicaid Risk Adjustment National Programs, this individual will...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- The Cigna Group (Bloomfield, CT)
- …Review Audit Manager is responsible for day-to-day oversight of the Risk Adjustment coding quality assurance operations for the Cigna Medicare segment. ... **Core Responsibilities:** + End-to-end management of multiple cross-functional and focused risk adjustment coding initiatives that vary widely in scope… more
- The Cigna Group (Bloomfield, CT)
- …Provider Performance Enablement teams, Provider Education, and the Risk Adjustment Operations teams. The Prospective Program Solutions & Performance Advisor ... role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall...strategic advisor for market specific prospective risk adjustment strategy and solutions. Communicates RA program … more
- The Cigna Group (Bloomfield, CT)
- …provider training on health plan coding initiatives guidelines and requirements of the Risk Adjustment program to ensure correct coding and documentation. ... This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program ...will work under the direction of Risk Adjustment & Stars Provider Education Supervisor and/or Manager… more
- CVS Health (Hartford, CT)
- …Business Consultant within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical record ... and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. Responsible for...to maximize results; customize ACA reporting views and outreach manager data needed for day to day operations work.… more
- CVS Health (Hartford, CT)
- …Consultant within the Revenue Integrity COE organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical record ... team members and/or matrixed staff as required to lead Risk Adjustment Revenue Integrity initiatives. Accountable for...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Walmart (Wallingford, CT)
- …equipment needs; identifying equipment to increase efficiency; directing temperature adjustment ; analyzing systems and load requirements to determine setback modes ... fosters an environment that supports learning, innovation, and intelligent risk -taking; and exhibits resilience in the face of setbacks.Digital Transformation… more
- Travelers Insurance Company (Hartford, CT)
- …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators,… more
- Travelers Insurance Company (Hartford, CT)
- …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts.… more
- Sedgwick (Hartford, CT)
- …written communication. + Develops contacts with company managers to introduce program ; represents client. + Contacts employers to determine specific information ... trends. + Maintains regular contact with clients following placement, as per program guidelines; contacts involved individuals regarding progress on each case and… more