• Risk Adjustment Provider

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …identify opportunities for performance improvement and further education . + Summarize and provide feedback to risk adjustment and/or provider group ... Establish and maintain collaborative relationships with assigned providers / provider offices to improve risk adjustment... Adjustment Coding/Auditing and experience with direct provider education + Health Insurance/ managed care… more
    Blue Cross Blue Shield of Massachusetts (05/10/25)
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  • Risk Adjustment Auditor/Coder

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …to help us transform healthcare? Bring your true colors to blue. The Risk Adjustment Auditor/Coder will code, abstract and analyze inpatient, outpatient and ... diagnoses are reported in accordance with CMS payment and Risk Adjustment guidelines. + Consistently meet daily...in internal / external meetings and training activities. + Provide feedback and trending to leaders. Participate in special… more
    Blue Cross Blue Shield of Massachusetts (04/30/25)
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  • Risk Adjustment Trainer

    Datavant (Boston, MA)
    …and life experiences to realize our bold vision for healthcare. We're looking for a Risk Adjustment Trainer to help us uplevel our Risk Adjustment ... of HCC mapping and models + Experience with coding Medicare, Commercial and Medicaid risk adjustment charts + Understanding of Medicare, Commercial and Medicaid … more
    Datavant (05/07/25)
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  • Sr Program Manager

    Point32Health (Canton, MA)
    …will be responsible for the implementation, execution and general ownership of risk adjustment programs, including chart reviews, in-home health assessments, ... data decision support and other new programs for the Risk Adjustment department. The Sr. Program Manager...the company. The Sr. Program Manager will also support provider engagement and consultation efforts by serving as an… more
    Point32Health (05/14/25)
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  • IPA Coding Associate Director

    CenterWell (Boston, MA)
    …with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, provider coding improvement ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
    CenterWell (04/24/25)
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  • Coordinator of Special Education (COSE)…

    Boston Public Schools (Boston, MA)
    …for students with disabilities, and differentiated instruction for all students + Provide support to special education teachers regarding research-based and ... , Mentally Disabled Special Education , Mild/Moderate Disabilities Special Education , Multiple Disabilities Student Services, Adjustment Counselor Student… more
    Boston Public Schools (04/24/25)
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  • Coordinator of Special Education (COSE)…

    Boston Public Schools (Boston, MA)
    …for students with disabilities, and differentiated instruction for all students + Provide support to special education teachers regarding research-based and ... , Mentally Disabled Special Education , Mild/Moderate Disabilities Special Education , Multiple Disabilities Student Services, Adjustment Counselor Student… more
    Boston Public Schools (03/21/25)
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  • Coordinator of Special Education (COSE)…

    Boston Public Schools (Boston, MA)
    …for students with disabilities and differentiated instruction for all students. + Provide support to special education teachers regarding research-based and ... Job Details Job ID: 5048995 Job Description Title: Coordinator of Special Education (COSE) - Central Office and School-Based Compliance Boston Public Schools seeks… more
    Boston Public Schools (03/21/25)
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  • Finance Strategy Lead - MRA

    CenterWell (Boston, MA)
    …efficiencies, processes, education , and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement efforts ... The Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
    CenterWell (04/26/25)
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  • Sr. Director, Life Underwriting Innovation (Remote…

    RELX INC (Cambridge, MA)
    …LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with solutions and decision ... and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk...the vertical market. + Partner with the Industry Market Education team to monitor state and federal legislative, policy,… more
    RELX INC (04/30/25)
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  • Sr Manager, Business Intelligence

    CVS Health (Boston, MA)
    …Sr Manager, within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities not limited to, reconciliation and aggregation, ... external consultants, team members and/or matrixed staff as required to support MA Risk Adjustment Revenue Integrity initiatives. + Responsible for leading the… more
    CVS Health (05/16/25)
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  • Data Analyst III

    RELX INC (Cambridge, MA)
    About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
    RELX INC (04/12/25)
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  • Social Worker, LICSW

    Harvard University (Cambridge, MA)
    …of a diverse population of adolescents and adults, eating disorders; multicultural adjustment issues; fluency in a foreign language (Chinese, Japanese, Korean, or ... pre-employment reference and background screening. + Harvard University is unable to provide work authorization and/or visa sponsorship. + This position has a 90-day… more
    Harvard University (05/09/25)
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  • Senior Population Health Specialist

    Beth Israel Lahey Health (Wakefield, MA)
    …gaps in care, monitors patient and practice/ provider compliance with campaigns and provide feedback and adjustment as needed to ensure success. 4. Supports ... metrics are met, and maximizing financial revenue in our quality risk arrangements. This role facilitates strategic process improvement initiatives through planning,… more
    Beth Israel Lahey Health (04/09/25)
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  • Onsite Medical Representative

    Amazon (North Andover, MA)
    …and make referrals to outside medical providers as necessary. * Minimize the AA risk of injury through awareness, education , and proactive engagement. * Maintain ... Engage with AAs and leadership on operations floor to provide coaching regarding observed at- risk work habits....(BLS) certification by an approved emergency cardiac care (ECC) provider ; AND must have one of the following: -… more
    Amazon (05/07/25)
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  • (Slife) Social Worker (Sy25-26)

    Boston Public Schools (Boston, MA)
    …Certification by the Commonwealth of Massachusetts Department of Elementary and Secondary Education as a School Adjustment Counselor/School Social Worker + ... 5060577 Job Description Students with Limited or Interrupted Formal Education (SLIFE) Social Worker Office of Social Work(OSW) &...support plan for each student within the program. + Provide or coordinate mental health services for students on… more
    Boston Public Schools (03/27/25)
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  • Senior Financial Analytics Professional

    Humana (Boston, MA)
    …and Medicaid regulations and payment models, monitors and reports on risk adjustment data submissions, and supports HQRI operations. **Responsibilities** ... of variable factors **Preferred Qualifications** + Experience in Medicare Advantage - risk adjustment or Stars + Degree in business, finance, analytics,… more
    Humana (05/14/25)
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  • Senior Claims Specialist

    HUB International (Wilmington, MA)
    …counsel. . Conference with other party and their counsel to discuss recommendations. . Provide staff and clients with training and education on claims coverage ... owned global insurance broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management… more
    HUB International (03/18/25)
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  • AAPC Certified Medical Coding Instructor (CPC-i)

    Humana (Boston, MA)
    …on learning strategies and adult learning theories + Working knowledge of Medicare Risk Adjustment and/or Stars + Experience using Articulate products including ... learning needs and partners with subject matter experts to provide input for course content. Writes effective learning objectives...This role will be responsible for supporting the Medicare Risk Adjustment Team within the Healthcare Quality… more
    Humana (05/03/25)
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  • Vocational Specialist

    Sedgwick (Boston, MA)
    …Services & Insurance Vocational Specialist **PRIMARY PURPOSE** **:** To develop and provide vocational services as specified by the referral source for individuals ... with occupational and non-occupational injuries and disabilities. To provide vocational services through multiple platforms such as in person, virtually,… more
    Sedgwick (03/28/25)
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