- Elevance Health (Indianapolis, IN)
- …+ Working knowledge of Medicaid is strongly preferred + Healthcare business knowledge related to Risk Adjustment Payment Methodology strongly ... effectively consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs + Provides expertise to lower-level… more
- Elevance Health (Indianapolis, IN)
- …and problem-solving, critical thinking skills strongly preferred. + Healthcare business knowledge related to Risk Adjustment Payment Methodology ... to the development and implementation of strategic initiatives aimed at improving risk adjustment outcomes. + Monitor the effectiveness of implemented solutions… more
- Datavant (Indianapolis, IN)
- … risk adjustment charts + Understanding of Medicare, Commercial and Medicaid risk adjustment business logic and coding + Knowledge and understanding ... vision for healthcare . We're looking for a Risk Adjustment Trainer to help us uplevel...members of Ciox team + Expertise and understanding of risk adjustment business logic +… more
- Highmark Health (Indianapolis, IN)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... and deliver large and small scale projects that advance business outcomes and achieve strategic objectives relative to new...and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives… more
- Elevance Health (Indianapolis, IN)
- …SAS and SQL. + Ability to manage multiple projects simultaneously. + Medicare risk adjustment experience highly preferred. Please be advised that Elevance Health ... ** Business Change Manager** **Location:** Grand Prairie, TX; Indianapolis,...resources + Leading various projects that support the Medicare Risk & Recovery Revenue Management - Data Ops team.… more
- CVS Health (Indianapolis, IN)
- …Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will support data analysis, ... business needs. You will be responsible for maintaining risk score model integrity across multiple states and communicate...Knowledge of health insurance concepts - Experience working in risk adjustment - Experience working at a… more
- Datavant (Indianapolis, IN)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...and time management skills. + Working knowledge of the business use of computer hardware and software to ensure… more
- CenterWell (Indianapolis, IN)
- …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
- CenterWell (Indianapolis, IN)
- …help us put health first** The Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy and targeted initiatives aimed at ... processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct...trends and develops internal initiatives to meet the ever-evolving business needs. Stays on the cutting age of technology… more
- GE Aerospace (Indianapolis, IN)
- …at one of our facilities as the site leader's right hand helping to make business decisions or at headquarters on a larger finance team, we have an opportunity for ... Audit Manager and other team members to execute the audit process, including risk assessment, audit planning, audit execution and reporting results for GE Aerospace.… more
- Humana (Indianapolis, IN)
- …factors **Preferred Qualifications** + Experience in Medicare Advantage - risk adjustment or Stars + Degree in business , finance, analytics, or related ... and Medicaid regulations and payment models, monitors and reports on risk adjustment data submissions, and supports HQRI operations. **Responsibilities**… more
- Datavant (Indianapolis, IN)
- …BS degree in business , technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding, physician ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...between internal resources and customers in support of custom risk adjustment projects and reports on project… more
- Elevance Health (Indianapolis, IN)
- …medical terminology and anatomy strongly preferred. + Experience with the most current CMS Risk Adjustment Model strongly preferred. + AAPC Certified Risk ... the Elevance Health family of companies, within our Carelon business . CareBridge Health exists to enable individuals in home...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Elevance Health (Indianapolis, IN)
- …processes. **How you will make an impact:** + Serves as final arbiter regarding the Risk & Recovery's Retrospective Risk Adjustment (RA) Coding Team. + ... recommendations and solutions based on trends and results. + Provides feedback to Risk & Recovery leadership on performance improvement opportunities as a result of… more
- Bristol Myers Squibb (Indianapolis, IN)
- …+ Understanding, adapting, and effectively using technology in various aspects of healthcare business and interacting with HCPs. + Utilizing various digital ... use of BMS products while also focusing on overall business results and performance objectives while exemplifying BMS values....preferred 5+ years of pharmaceutical or biotechnology experience as healthcare sales / MSL / HCP / nurse. +… more
- Humana (Indianapolis, IN)
- …+ Demonstrated knowledge of Medicare Advantage program + Demonstrated knowledge of risk adjustment and the Stars quality program + Experience in ... legal team -- use your legal expertise to drive healthcare strategy. Humana is seeking legal counsel who will...advice and support for Humana's Medicare Advantage lines of business ; + Advising on Medicare Advantage rules and regulations… more
- Humana (Indianapolis, IN)
- …community and help us put health first** The Medical Records Retrieval Representative ( Risk Adjustment Representative 2) travels to provider offices within the ... or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking… more