- Highmark Health (St. Paul, MN)
- …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 (St. Paul, MN)
- …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
- Indeed (St. Paul, MN)
- …(*Comscore, Total Visits, March 2024) **Day to Day** We are seeking a strategic , detail-oriented Program Manager to join the Marketplace Engineering - Office ... cross-functional role that requires a blend of program management expertise, strategic thinking, and exceptional operational instincts. You thrive in navigating… more
- Actalent (St. Paul, MN)
- …for member telephonic outreach to enhance medication therapy and drive strategic targeted initiatives forward. + Conduct clinical outreach to members, prescribers, ... + Experience with CMS Stars and HEDIS quality measures, risk revenue value streams, and population health management. +...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due… more
- CenterWell (St. Paul, MN)
- …first** The Market Partnership and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy and targeted initiatives aimed at ... clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement… more
- CenterWell (St. Paul, MN)
- …in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex ... to strengthen a patient-centered culture that is clinically led + Strategic problem-solver with examples of driving change initiatives with measurable impact… more
- Travelers Insurance Company (St. Paul, MN)
- …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