- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Risk Adjustment Revenue Manager (Remote) **Cost Center:** 682891390 ... Shift:** Mon-Fri; 8:00 am - 5:00 pm (United States of America) **Job Description:** The Risk Adjustment Revenue Manager is responsible for risk … more
- UPMC (Pittsburgh, PA)
- …strategies that will improve their quality of patient care and maximize risk adjustment revenue . + Assist Senior Manager in development of education ... to maximize Health Plan revenue achieved through the various risk adjustment payment models. + Identify trends and barriers that interfere with correct… more
- OhioHealth (Columbus, OH)
- …achieve more - 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...IT, Clinical Enterprise/Service Lines, OhioHealth Quality & Patient Safety, Revenue Cycle, etc. * Report to the Director of… 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
- 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
- Healthfirst (NY)
- …from an accredited institution. + At least 5 years previous work experience within risk adjustment + Credentialed Associate of the Society of Actuaries (ASA) + ... BI). + Experience in modeling the financial impact of risk revenue changes. + Experience in supporting...Product and Actuarial analytical requests. + Experience with CMS/HHS risk adjustment payment methodologies. + Self-motivated, creative… more
- RELX INC (Atlanta, GA)
- …ability to mitigate and manage risk . About the job: The Field Account Manager role will ensure and grow additional revenue opportunities and protect ... About the Business: LexisNexis Risk Solutions is the essential partner in the...focused on helping businesses of all sizes drive higher revenue growth, maximize operational efficiencies and improve customer experience.… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and… more
- East Boston Neighborhood Health Center (Revere, MA)
- …specialties + Extensive knowledge of cpt, revenue codes, ICD-10-CM coding and HCC/ risk adjustment methodologies + Experience with Medicare Advantage risk ... improvement Certifications: + Required: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) + Preferred: Additional auditing or… more
- RELX INC (Atlanta, GA)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The National Account Manager role maintains and ... assess revenue potential, and outline targeted activities to maximize revenue opportunities and penetrate markets with LexisNexis Risk products and… more
- RELX INC (Sacramento, CA)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The National Account Manager role maintains and ... assess revenue potential, and outline targeted activities to maximize revenue opportunities and penetrate markets with LexisNexis Risk products and… more
- RELX INC (Dayton, OH)
- …You can learn more about LexisNexis Risk at the link below, https:// risk .lexisnexis.com About the Role The Senior Manager of Data Analytics & Business ... About the Business LexisNexis Risk Solutions is the essential partner in the...focused on helping businesses of all sizes drive higher revenue growth, maximize operational efficiencies, and improve customer experience.… more
- RELX INC (Boca Raton, FL)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The Key Account Manager will be responsible for ... About the Business: LexisNexis Risk Solutions is the essential partner in the...focused on helping businesses of all sizes drive higher revenue growth, maximize operational efficiencies and improve customer experience.… more
- Amazon (New York, NY)
- …across Amazon's entertainment devices and physical stores, delivering sustainable revenue growth while maintaining excellence in customer experience. Our team ... focus on driving business impact through increased engagement, conversion, and revenue while fostering a culture of innovation, experimentation, and continuous… more
- Henry Ford Health System (Troy, MI)
- …value-based reimbursement models and initiatives. Reporting to the Director, Risk Adjustment and Value-Based Payment, the Program Manager is responsible for ... The Program Manager - Population Health & Value-Based Payment has an...with a high degree of autonomy focusing on improving Revenue Cycle processes, Population Health program management, Accountable Care… more
- The ODP Corporation (Sunrise, FL)
- …Max, every leader is responsible for growing total sales within the location. The Sales Manager will partner with the General Manager to drive the overall sales ... day to day operations, and work with the General Manager to develop overall store strategies and tactics and...customers to exceed their needs and work to generate revenue by driving a sales culture. Quickly builds ongoing… more
- Bristol Myers Squibb (Princeton, NJ)
- …modeling, valuation, and/or decision analysis experience, Utilizing probability for revenue risk adjustments, preferably in the pharmaceutical industry. ... work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Manager , Business Development Analytics is a critical member of the BD and… more
- Molina Healthcare (Scottsdale, AZ)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and… more
- RELX INC (Dayton, OH)
- …You can learn more about LexisNexis Risk at the link below, https:// risk .lexisnexis.com About the Role The Senior Manager , Enterprise Initiatives is a ... About the Business LexisNexis Risk Solutions is the essential partner in the...focused on helping businesses of all sizes drive higher revenue growth, maximize operational efficiencies, and improve customer experience.… more
- Actalent (Hanover, MD)
- **Overview** **Actalent is seeking a Financial Operations Manager / Assistant Controller to join our Services team at our Global Headquarters in Hanover, MD!** ... office - 1 day remote **JOB SUMMARY** Reporting to the Senior Financial Operations Manager / Regional Controller (Sr. FinOps Manager ), the Financial Operations … more