- CVS Health (Hartford, CT)
- …team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment ... to revenue integrity excellence. This position will contribute to Medicaid RAF performance through the delivery of measurable and...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- The Cigna Group (Bloomfield, CT)
- …facilitate appropriate healthcare outcomes for members. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care ... and utilization management to members. Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select… more
- CVS Health (Hartford, CT)
- …affordable. Position SummaryCVS Health has an exciting opportunity for a Senior Informatics Manager to join our dynamic Medicaid Risk Adjustment Analytics team! ... analysis to identify and prioritize members outreached for prospective and retrospective programs - Identify opportunities to optimize risk scores, while maintaining… more
- The Cigna Group (Bloomfield, CT)
- …job family. Handles moderately-complex cases. Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and ... select outpatient services. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost… more