- Commonwealth Care Alliance (Boston, MA)
- 011260 CCA-Revenue Cycle Management Position Summary: The Risk Adjustment Business Analyst is responsible for understanding and interpreting complex ... Responsibilities: * Identifying opportunities for improvement that drives risk adjustment initiatives and program. * Operational Business Partner supporting… more
- Centene Corporation (Providence, RI)
- …refining Medicare contract models, incorporating CMS and NYSDOH guidelines related to risk adjustment , quality metrics, and financial benchmarks. + Collaborate ... and quality trends, supporting provider engagement efforts, and ensuring alignment with CMS-aligned risk -based models. The Analyst will play a key role in… more
- Evolent (Providence, RI)
- …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate… more