- Highmark Health (Madison, WI)
- …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
- Datavant (Madison, WI)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the ... in the key underlying healthcare data sources that support risk adjustment measurement and analysis. + **Analytical & Strategic :** Able to connect… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** 682891378 SHP-Actuarial **Scheduled Weekly ... States of America) **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment Services is a key leader for commercial and government… more
- Molina Healthcare (Milwaukee, WI)
- …SKILLS & ABILITIES:** * 4+ years of program and/or project management experience in risk adjustment and/or quality * 4+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is...engine activity, risk adjustment targeting and reporting systems *… more
- Molina Healthcare (Racine, WI)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...engine activity, risk adjustment targeting and reporting systems *… more
- Aston Carter (Green Bay, WI)
- …matter expert on category-specific industry insights. + Segment suppliers and develop risk mitigation strategies. + Build strategic supplier partnerships for ... Job Title: Category Manager Job Description We are seeking a skilled...execute category strategies aimed at enhancing value and minimizing risk . This role requires a proactive approach to monitoring… more
- Datavant (Madison, WI)
- … recommendations to help clients understand the shifts and trends happening in the risk adjustment coding space. **What you will bring to the table:** + ... vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding...CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment , CDI, Medicaid, Commercial RA, and… more
- Amazon (Kenosha, WI)
- …is seeking an experienced and innovative Senior Site Workplace Health and Safety (WHS) Manager to join our team. In this position, you will be responsible for ... you will lead continuous improvement initiatives to reduce conditional and ergonomic risk in Amazon's processes to ensure a safe and healthful working environment… more
- Bristol Myers Squibb (Milwaukee, WI)
- …of independence and love of challenge. **Position Summary** The Senior District Business Manager is a critical role in our unique customer model to execute the ... adoption of capabilities and new ways of working. + **Execute strategic planning activities (eg, promo program planning, budget planning, and prioritization… more
- Marshfield Clinic (Marshfield, WI)
- …external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the ... providers in coding accuracy. The Educator develops and implements strategic action, quality improvement and risk management...accuracy and integrity of risk adjustment data submitted to the Centers… more
- Amazon (Beloit, WI)
- …committed to the safety and wellbeing of our people. WHS sets the strategic direction to provide resources, best practices, and safe environments to proactively ... position, you will work closely with the WHS Site Manager , WHS Specialist, and occasionally the Injury Prevention Specialist...medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a… more
- Travelers Insurance Company (Madison, WI)
- …for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts. ... + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle… more
- Travelers Insurance Company (Madison, WI)
- …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