- Highmark Health (Springfield, IL)
- …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
- CenterWell (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Medicare Risk Adjustment Strategy Lead in the PCO risk adjustment area ... clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement… more
- Bristol Myers Squibb (Springfield, IL)
- …join our rapidly growing organization as District Mental Health Account Specialist Manager . Reporting to the Regional Business Director, the DBM will be responsible ... Institutional Mental Health Account Specialist team, providing inspirational leadership and strategic direction to the team to achieve performance objectives and… more
- RELX INC (Springfield, IL)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Healthcare vertical, our solutions focus on ... decisions and solve complex challenges. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/healthcare About the Team: Are… more
- CenterWell (Springfield, IL)
- …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 (Springfield, IL)
- …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