- Highmark Health (Providence, RI)
- …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 (Providence, RI)
- …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
- RELX INC (Providence, RI)
- …our customers' ability to mitigate and manage risk . About the Job: The Strategic Account Manager role exists to grow revenue in established, strategic ... About the Business: LexisNexis Risk Solutions is the essential partner in the...products and solutions. You'll Be Responsible For: + Developing strategic sales plans to identify and track revenue trends,… more
- CVS Health (Providence, RI)
- … 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 (Providence, RI)
- … 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
- Centene Corporation (Providence, RI)
- …refining Medicare contract models, incorporating CMS and NYSDOH guidelines related to risk adjustment , quality metrics, and financial benchmarks. + Collaborate ... data visualizations, and summaries to support contract negotiations, governance discussions, and strategic planning led by the Medicare VBP Manager . + Advance… more
- RELX INC (Providence, RI)
- …s. About the Role: The US Tax Department is a strategic , centralized global organization with primary responsibilities for the US. The ... or a strong educational background. Reporting to the Senior Manager - Indirect Tax, the Associate - Indirect Tax...decision tools for professional and business customers in the Risk , Scientific, Technical & Medical, Legal, and Exhibitions sectors.… more
- Travelers Insurance Company (Providence, RI)
- …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
- Travelers Insurance Company (Providence, RI)
- …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