- Cambia Health Solutions, Inc (Renton, WA)
- …management, Provider contracting and reimbursement, managed care, healthcare delivery, risk adjustment , StarsOr equivalent combination of education and ... Provider Performance Director, Medicare Advantage (HEALTHCARE)Telecommute or Tele-Flex...objectives such as population health management, Medicare Stars, and Risk Adjustment .Here are some of the exciting… more
- EY (New York, NY)
- …and provide clients with strategic recommendations on Financial Services Risk Management issues facing the financial services sector, focusing on the ... credit risk - Standardized Approach for Counterparty Credit Risk (SA-CCR)Credit valuation adjustment (SA-CVA and BA-CVA)Demonstrate derivatives product… more
- EY (Hoboken, NJ)
- …and provide clients with strategic recommendations on Financial Services Risk Management issues facing the financial services sector, focusing on the ... with Basel III and FRTB, including market risk , counterparty credit risk , credit valuation adjustment (CVA) or stress testing;- Derivatives product knowledge… more
- Quarterra (Phoenix, AZ)
- …for eight consecutive years. Quarterra Single-Family Rental launched in 2020 to provide individuals, couples, and families who prefer to rent over home ownership ... scope and specifications as required. Comply with company safety and risk -management policies by attending and participating in the community's routine safety… more
- Quarterra (Bloomington, MN)
- …for eight consecutive years. Quarterra Single-Family Rental launched in 2020 to provide individuals, couples, and families who prefer to rent over home ownership ... standards, scope and specifications as required.Comply with Company's safety and risk -management policies by attending and participating in the community's routine… more
- Quarterra (Scottsdale, AZ)
- …for eight consecutive years. Quarterra Single-Family Rental launched in 2020 to provide individuals, couples, and families who prefer to rent over home ownership ... tools and equipment. Routinely conduct property inspections to identify safety and risk management concerns and oversee work performed by contractors, vendors and… more
- Quarterra (Sparks, NV)
- …for eight consecutive years. Quarterra Single-Family Rental launched in 2020 to provide individuals, couples, and families who prefer to rent over home ownership ... to complaints about maintenance services. Comply with Company's safety and risk -management policies by attending and participating in the community's routine safety… more
- Creative Financial Staffing (Des Plaines, IL)
- …to ensure sound fiscal practices that enable streamlined operations in, and provide scalability to, the advancement services functions of the Foundation. Performs ... and operational aspects of the Council for Advancement and Support of Education (CASE) Checklist for Institutionally Related Foundations to ensure compliance with… more
- Atrium Health (Charlotte, NC)
- …This leaders will be a key subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on priorities ... quality, and finance to support Corporate Goals. Participates in the ongoing education of providers and other healthcare team members to identify medical record… more
- The University of Vermont Health Network (Burlington, VT)
- …supervision to group therapists; contribute to medical student and psychiatry resident education and training; provide consultation and limited direct service ... bonus will be paid out as a $2,500 pay adjustment in the first paycheck following the completion of...around behavior management and crisis stabilization; provide clinical supervision and training of psychology residents and… more
- Baystate Health (Springfield, MA)
- …care practice staff to schedule annual comprehensive visits. Assists with coordinating risk adjustment education and performance improvement projects. ... The Prospective Outpatient Risk Adjustment Coder supports risk...chronic conditions in the medical record, collecting data around provider documentation and coding practices, and identifying opportunities to… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Key Responsibilities -Establish and maintain collaborative relationships with assigned providers / provider offices to improve risk adjustment coding and ... of documentation changes + 3 years Risk Adjustment Coding/Auditing and experience with direct provider ... Adjustment Coding/Auditing and experience with direct provider education + Health Insurance/ managed care… more
- Atrius Health (Newton, MA)
- …Team, participating in creating and implementing new initiatives for Atrius Health risk adjustment programs. EDUCATION /LICENSES/CERTIFICATIONS Graduate of a ... locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to more than 720,000 adult...added. Acts as a mentor and role model to Risk Adjustment Specialist RNs assuring that they… more
- Atrius Health (Newton, MA)
- …Team, participating in creating and implementing new initiatives for Atrius Health risk adjustment programs. EDUCATION /LICENSES/CERTIFICATIONS Graduate of a ... welfare benefit package. **Job:** **Professional Non-Clinical* **Organization:** **Administration* **Title:** * Risk Adjustment Specialist* **Location:** *Newton MA -… more
- Centene Corporation (Columbia, SC)
- …an educational work plan for WellCare contracted providers. + Conduct provider education and training regarding risk adjustment to help to ensure ... knowledge of Medicare, Marketplace, and Medicaid risk adjustment is required. Provider education ...Medicaid risk adjustment is required. Provider education experience is preferred. **Licenses and… more
- Apex Health Solutions (Houston, TX)
- …and compliance with risk adjustment requirements. Reports to: AVP, STARs & Risk Adjustment Location: Houston, TX EDUCATION : * High School Diploma or ... SUMMARY: Risk Adjustment Coder is responsible for...of medical records requests for all risk adjustment projects. * Performs telephonic outreach to provider… more
- The Cigna Group (Houston, TX)
- …Stars gaps in care. The role will work under the direction of Risk Adjustment & Stars Provider Education Supervisor and/or Manager to reach overall ... operational market. The role will be accountable for assigned provider groups reaching risk adjustment ... office diagnosis coding. Implement provider office education , where necessary, and provide formal training… more
- Humana (Columbus, OH)
- …+ Oversight and support of all Market MRA functions + Policies, procedures, training, and education for all risk adjustment functions Ensures integration of ... Reporting and Improvement (HQRI) organization as Senior Vice President (SVP), Risk Adjustment Operations and Interoperability. This key leadership position… more
- Centene Corporation (Austin, TX)
- …sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment . Provides education for HEDIS measures, appropriate ... and NCQA requirements. + Collects, summarizes, trends, and delivers provider quality and risk adjustment ...encounters). + Identifies specific practice needs where Centene can provide support. + Develops, enhances and maintains provider… more
- The Cigna Group (Bloomfield, CT)
- ** Risk Adjustment Provider Educator** **_Incumbent_** **_candidate must reside in assigned territory and have the ability to travel to the local office and ... operational market. The role will be accountable for assigned provider groups reaching risk adjustment ... office diagnosis coding. Implement provider office education , where necessary, and provide formal training… more
