- Elevance Health (Indianapolis, IN)
- …and problem-solving, critical thinking skills strongly preferred. + Healthcare business knowledge related to Risk Adjustment Payment Methodology ... to the development and implementation of strategic initiatives aimed at improving risk adjustment outcomes. + Monitor the effectiveness of implemented solutions… more
- Elevance Health (Indianapolis, IN)
- …+ Working knowledge of Medicare is strongly preferred + Healthcare business knowledge related to Risk Adjustment Payment Methodology strongly ... effectively consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs + Provides expertise to lower-level… more
- Datavant (Indianapolis, IN)
- … risk adjustment charts + Understanding of Medicare, Commercial and Medicaid risk adjustment business logic and coding + Knowledge and understanding ... vision for healthcare . We're looking for a Risk Adjustment Trainer to help us uplevel...members of Ciox team + Expertise and understanding of risk adjustment business logic +… more
- Highmark Health (Indianapolis, IN)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... and deliver large and small scale projects that advance business outcomes and achieve strategic objectives relative to new...and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives… more
- Humana (Indianapolis, IN)
- …+ Demonstrating an understanding of departmental and organizational goals and how risk adjustment compliance supports boarder business priorities. Making ... caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Humana (Indianapolis, IN)
- …community and help us put health first** The Director, Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning support ... segments and the company at large. The Director, Risk Adjustment Strategy Advancement requires an in-depth...for a seasoned leader to lead strategic planning and business management for the team. The primary objective of… more
- CenterWell (Indianapolis, IN)
- …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
- CenterWell (Indianapolis, IN)
- …first** The Market Partnership and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy and targeted initiatives aimed at ... processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct...trends and develops internal initiatives to meet the ever-evolving business needs. Stays on the cutting age of technology… more
- Humana (Indianapolis, IN)
- …consumer experiences **Preferred Qualifications** + Experience working with Medical Claims or other healthcare data + Medicare Risk Adjustment Experience + ... This position utilizes financial projection and analytics skills while working in Medicare risk adjustment . Additionally, you will work to build consensus with… more
- RELX INC (Martinsville, IN)
- About the Business : LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Healthcare vertical, our solutions focus on ... transforming operations and improving health outcomes across the healthcare industry. While our solutions are centered around robust data assets, we also leverage… more
- Datavant (Indianapolis, IN)
- …BS degree in business , technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding, physician ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...between internal resources and customers in support of custom risk adjustment projects and reports on project… more
- Humana (Indianapolis, IN)
- …Experience in healthcare interoperability, including FHIR + Familiarity with CMS Risk Adjustment and Quality Measure reporting + Experience with ... improved member experience. The Lead Product Manager understands the healthcare industry and various changes it is going through....monitor the efficacy of products and use customer and business partner feedback to adjusts products over time for… more
- Elevance Health (Indianapolis, IN)
- …medical terminology and anatomy strongly preferred. + Experience with the most current CMS Risk Adjustment Model strongly preferred. + AAPC Certified Risk ... the Elevance Health family of companies, within our Carelon business . CareBridge Health exists to enable individuals in home...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Elevance Health (Indianapolis, IN)
- …processes. **How you will make an impact:** + Serves as final arbiter regarding the Risk & Recovery's Retrospective Risk Adjustment (RA) Coding Team. + ... recommendations and solutions based on trends and results. + Provides feedback to Risk & Recovery leadership on performance improvement opportunities as a result of… more
- CenterWell (Indianapolis, IN)
- …in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex ... and welcoming environment for all. PCO-IPA Our Independent Practice Association business consists of 182 affiliate organizations, 13,000 providers taking care of… more
- Evolent (Indianapolis, IN)
- …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:**… more
- Bristol Myers Squibb (Indianapolis, IN)
- …+ Understanding, adapting, and effectively using technology in various aspects of healthcare business and interacting with HCPs. + Utilizing various digital ... use of BMS products while also focusing on overall business results and performance objectives while exemplifying BMS values....preferred 5+ years of pharmaceutical or biotechnology experience as healthcare sales / MSL / HCP / nurse. +… more
- Banner Health (IN)
- …as well as our Providers. **Experience in E/M and Family Practice, Internal Medicine and Risk Adjustment coding is a must,** as well as current Certification in ... team. MINIMUM QUALIFICATIONS Must possess a current knowledge of business and/or healthcare as normally obtained through the completion of a bachelor's degree… more
- Bristol Myers Squibb (Fort Wayne, IN)
- …+ Understanding, adapting, and effectively using technology in various aspects of healthcare business and interacting with HCPs. + Utilizing various digital ... use of BMS products while also focusing on overall business results and performance objectives while exemplifying BMS values....preferred 5+ years of pharmaceutical or biotechnology experience as healthcare sales / MSL / HCP / nurse. +… more