- CVS Health (Hartford, CT)
- …has an exciting opportunity for a Senior Informatics Manager to join our dynamic Medicaid Risk Adjustment Analytics team! In this role you will provide ... Qualifications + Knowledge of government-regulated healthcare programs such as Medicaid or Medicare + Risk Adjustment...programs such as Medicaid or Medicare + Risk Adjustment experience/knowledge Education + Bachelor's Degree… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Risk Adjustment Senior Program Delivery Professional strategically identifies, develops, ... data requires an in-depth evaluation of variable factors. The Risk Adjustment Senior Program Delivery...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Highmark Health (Hartford, CT)
- …Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk Adjustment Data Validation (RADV) audits. Works closely with colleagues, ... and compliance), and/or physicians to identify and deliver high quality and accurate risk adjustment coding. Supports all risk adjustment projects to… more
- Deloitte (Hartford, CT)
- …with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + Experience with risk adjustment mechanisms + Experience with health care reform and working knowledge ... Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance...health plan/insurance company experience + 1 years' experience with Medicaid managed care rate setting + ASA with progression… more
- Humana (Hartford, CT)
- …closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment , Provider Contracting, and Provider Engagement internally ... administrative staffing and expenses + Includes substantial visibility to the regional senior leadership team, exposure to a broad spectrum of corporate business… more