- OhioHealth (Columbus, OH)
- …in our careers and in our communities. **Job Description Summary:** The Manager , Quality & Risk Adjustment is responsible for the strategic coordination ... of quality and risk adjustment programs supporting OhioHealth's Population Health efforts including but not limited to Clinically Integrated Network (CIN),… more
- Molina Healthcare (St. Petersburg, FL)
- …**Program Manager - Provider Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program ... Documentation Development** + Develop, review, and update Standard Operating Procedures (SOPs) for risk adjustment and quality program workflows. + Maintain… more
- Evolent (Phoenix, AZ)
- …Be Doing:** ** Manager , Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of ... to providing better health outcomes for the population. The Risk Adjustment Coding Manager plays...progress note clinical documentation review. + Ensure compliance and quality for all coding practices maintaining high standards and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… more
- Datavant (Richmond, VA)
- …life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the ... data strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data...data types + Data accuracy (upstream validation of data quality ) + Database uptime/availability + Optimized query response time… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key… more
- CVS Health (FL)
- …services within the existing program and vendors._ **Required Qualifications:** + _Expertise in Risk Adjustment payment models for MA, ACA and Medicaid._ + ... every day. **Position Summary** _The Purpose of the Sr. Manager , Business Consultation job is to drive prospective program..._Expertise in Risk Adjustment timelines and requirements_ + _Must… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | ... provider-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment... Quality (CPHQ) or Certification in Health Care Quality and Manager (CHQM) * Registered Nurse… more
- ChenMed (Miami, FL)
- …departments to review medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure opportunities. A ... to collect and review documents to support the organization's quality and risk adjustment initiatives,...required. + Other duties as assigned and modified at manager 's discretion. KNOWLEDGE, SKILLS & ABILITIES: + Advanced understanding… more
- Molina Healthcare (Kearney, NE)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting ... **Job Description** **Job Summary** The Risk & Quality Performance Manager...Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …RSA initiatives, including Hierarchical Condition Categories (HCC) coding and other risk adjustment payment models. This role strategizes and collaborates ... Identifies opportunities for performance improvement related to system-wide HCC and other risk adjustment coding initiatives. Conducts medical record reviews and… more
- Bristol Myers Squibb (Princeton, NJ)
- … Risk Management will be responsible to enhance QRM capabilities for key Quality Risk Management (QRM) processes within the GxPs (GMP, GDP, GLP, Medical ... BMS network. Will provide together with the Associate Director Risk Management and Director Quality Risk...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Senior Manager , Data Architecture (Financial Services Specialist 4 ( Risk ), SG-27) Occupational Category ... Auditing, Business, Business Administration, Economics, Econometrics, Finance, Mathematics, Market Analysis, Quality Assurance, or Risk Management and five (5)… more
- Amazon (Arlington, VA)
- …Account Compliance Insights team is looking for a highly analytical and result-oriented Risk Manager who can analyze business decisions, troubleshoot issues, and ... understanding of data fundamentals, working with and synthesizing very large datasets. As a Risk Manager , you will be responsible for analyzing terabytes of data… more
- Amazon (Nashville, TN)
- …Amazon shipping is seeking a strategic and results driven leader to join as a Sr. Claims Risk Manager to lead the Claims charter for our org. We are looking for ... and be an effective communicator. As a Sr. Claims Risk Manager , you will own the WW...program charter by driving strategic initiatives for growth and quality improvement. * Build and manage relationships with key… more
- Amazon (Arlington, VA)
- …business teams to successfully capture and document control activities. Operating a quality rhythm of the business for managing compliance expectations. Using high ... - 4+ years of compliance program management, legal, governance, audit, risk /loss prevention, or equivalent experience - Bachelor's degree or equivalent -… more
- Amazon (Seattle, WA)
- …would you build to maximize customer satisfaction? Amazon is seeking a Program Manager who is passionate about Operations, has strong bias for action, and has ... experience leading multi-organizational projects. We are seeking a Program Manager who can drive organizational changes through global communication strategy,… more
- PNC (Pittsburgh, PA)
- …our Model Risk Management team at PNC. The position reports to the Senior Validation Manager for Market Risk and Counterparty Risk Models and is part of ... a Quantitative Analytics and Modeling Consultant Senior Validator within PNC's Model Risk Management organization, you can be based in Pittsburgh, PA. This position… more
- New York State Civil Service (Albany, NY)
- …and Counterparty Managero Market, Liquidity and Asset Liability Management Risk Manager * Project Management Institute: Portfolio Management ... Auditing, Business, Business Administration, Economics, Econometrics, Finance, Mathematics, Market Analysis, Quality Assurance, or Risk Management and three (3)… more
- LifePoint Health (Las Cruces, NM)
- …compensation and episode of care payment Familiar with patient and practice risk adjustment mechanics and premium-based payment methodologies. * Familiar with ... *Job Title:* Quality Practice Manager (QPM) *Job Type:*Full-time...patient and practice risk adjustment mechanics, APR; HCC/RAF Familiar with… more