- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... -performance consultation team, this role * Identifies opportunities for provider groups to improve performance on quality ...-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid ... Will Have We are looking for a Director of Risk Adjustment and Quality Analytics...and maintenance of dashboards to monitor risk adjustment initiatives and outcomes. * Collaborates with provider… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …are ready to make a difference, join us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play a critical ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career… more
- Datavant (St. Paul, MN)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
- Datavant (St. Paul, MN)
- …Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and ... and time off requests. + Receive, merge and track quality , productivity, and feedback for all team members. +...Provide coaching and feedback on achieving production and quality standards of the role. + Report trends for… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …on key findings. * Direct research, analyses, and interpretation of risk adjustment and quality data and provide technical assistance to other ... Job Duties * Develop, lead, and provide strategic direction for a high performing team...for maintaining, executing, and evaluating initiative impacts using the risk adjustment and quality analytics… more
- Datavant (St. Paul, MN)
- …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations ... role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides… more
- Bluestone Physician Services (Stillwater, MN)
- …and other clinical staff to educate them on the importance of accurate documentation for risk adjustment purposes. + Provide ongoing training and support to ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …identify risks and opportunities for improvement. * Collaborate with Pharmacy, Risk Adjustment , Network Management, Care Management, Member Experience, Medical ... requirements into actionable strategies to operationalize across departments. * Provide executive-level reporting and communication on quality performance to… more
- Humana (St. Paul, MN)
- … provider . The Senior Coding Educator is responsible for creating and executing the risk adjustment strategy for each provider groups. + Analyzes data and ... Risk Coder (CRC) + Experience interacting with healthcare providers + Medicare Risk Adjustment knowledge + Analyzing data to build unique education strategies… more
- Amentum (St. Paul, MN)
- …for the purpose of verifying and assessing the home situation and the offender's adjustment while under supervision. + Provide information on the analysis and ... enhancing human rights in developing countries. Amentum is the contract service provider to the DOJ ICITAP and Overseas Prosecutorial Development, Assistance and… more
- Humana (St. Paul, MN)
- …Qualifications** + Bachelors Degree + Knowledge and/or experience within the Stars Organization, Risk Adjustment and/or Provider + PMP or CAPM Certification ... include but not limited to Intake, Charter, Governance Structure, Project Plan, Risk /Issues Tracking, etc. + Analyze project portfolio to ensure project updates,… more
- Humana (St. Paul, MN)
- …+ Lead financial analytics projects, with a focus on outcomes of Medicare risk adjustment operations and initiatives. + Work independently to analyze historical ... insights for non-technical stakeholders. **Preferred Qualifications** + Experience with Medicare Risk Adjustment programs and/or CMS datasets. + Familiarity with… more
- Amazon (Eagan, MN)
- …ensuring that contracted resources meet schedule, budgetary, safety and driving quality targets; analyzing and deep diving systems performance, inventing and ... throughput and safety qualifications. Simplify, optimize, remove bottlenecks and provide feedback while resolving difficult system problems or technical… more
- Travelers Insurance Company (St. Paul, MN)
- …and/or complex claims, in multiple jurisdictions, in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned ... and file exposure is greater than $2 million. + Provide quality customer service and ensure file...activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators… more
- Humana (St. Paul, MN)
- …in Business Administration or a related field + PMP certification a plus + Stars, Risk Adjustment , or IHWA experience + Knowledge and experience in health care ... to internal resources for Humana follow-up. Primary Responsibilities: + Provide input and operationalize new follow-up programs + Point...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more