• Medicaid Risk Adjustment

    CVS Health (Hartford, CT)
    …solutions to make health care more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a critical role ... economic outcomes, and other business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics, the Sr. Analyst will work closely with… more
    CVS Health (04/05/24)
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  • Manager, Medicaid Risk

    CVS Health (Hartford, CT)
    …of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk Adjustment , the Market Manager of Medicaid Risk ... 20% + Recruit, develop and retain a high performing, high quality risk adjustment talent pool that is respected within Medicaid Operations. + Develop the… more
    CVS Health (05/01/24)
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  • Senior Hierarchical Condition Category…

    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
    Highmark Health (05/31/24)
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  • Senior Informatics Manager

    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 ... of audiencesPreferred Qualifications- Knowledge of government-regulated healthcare programs such as Medicaid or Medicare - Risk Adjustment more
    CVS Health (05/11/24)
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  • Senior Software Engineer (SQL)

    Humana (Hartford, CT)
    …an in-depth evaluation of variable factors. This job is within the Medicare risk adjustment finance department. This department is a combination of finance, ... caring community and help us put health first** The Senior Software Engineer codes software applications based on business...predicted cost, project future revenue as a result of risk adjustment , and communicate these projections to… more
    Humana (05/24/24)
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  • Government Health Actuary Senior Consultant

    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
    Deloitte (05/10/24)
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