- Highmark Health (Richmond, VA)
- …may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver... strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives… more
- Datavant (Richmond, VA)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the ... in the key underlying healthcare data sources that support risk adjustment measurement and analysis. + **Analytical & Strategic :** Able to connect… more
- CVS Health (Richmond, VA)
- … 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
- Datavant (Richmond, VA)
- … recommendations to help clients understand the shifts and trends happening in the risk adjustment coding space. **What you will bring to the table:** + ... vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding...CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment , CDI, Medicaid, Commercial RA, and… more
- HCA Healthcare (Richmond, VA)
- …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and ... is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development and evolution of the… more
- Amazon (Richmond, VA)
- …committed to the safety and wellbeing of our people. WHS sets the strategic direction to provide resources, best practices, and safe environments to proactively ... position, you will work closely with the WHS Site Manager , WHS Specialist, and occasionally the Injury Prevention Specialist...medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a… more
- Travelers Insurance Company (Richmond, VA)
- …for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts. ... + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle… more
- Elevance Health (Richmond, VA)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... run to explain to the market. + Provide analytical support for strategic initiatives, such as contract negotiations, provider network optimization, and total cost… more
- Travelers Insurance Company (Richmond, VA)
- …for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants, the Travelers Lab, Claim Legal, and fire or ... + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle… more