- Humana (Madison, WI)
- …+ Experience in healthcare operations, preferably with exposure to MRA or risk adjustment + Strong understanding of financial concepts (budgeting, ROI, ... us put health first** This role will support ongoing performance evaluation and enhancement for STP initiatives, while also...cost management ) + Proficient Excel skills; familiarity with business intelligence… more
- Molina Healthcare (Racine, WI)
- …Risk Adjustment submissions data to evaluate healthcare intervention program performance . Develops and presents Risk Adjustment intervention ROI, ... Services (SSIS), and other analytic / programming tools as needed + Reporting includes Risk Adjustment program performance metrics, risk score and… more
- Elevance Health (Waukesha, WI)
- …historical program performance and to inform current operating decisions. + Prepares management reports for risk adjustment related projects. + Collects ... **Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,**… more
- Datavant (Madison, WI)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and ... execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
- Datavant (Madison, WI)
- …planning and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to be operating proactively ... vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping...analytics + Experience using Jira for workflow and project management + Experience using both Microsoft and Google office… more
- Datavant (Madison, WI)
- …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... to escalate and create solutions. + Own client operations project management processes, tools, reference materials, and cross‐functional usage. + Identify, define,… more
- Datavant (Madison, WI)
- …for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... lives we impact. **You will:** + Supervise day-to-day team performance , conduct 1:1's and performance assessments. +...findings on a daily basis, including education on time management and best coding practices. + Provide coaching and… more
- Molina Healthcare (Racine, WI)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems *… more
- Molina Healthcare (Madison, WI)
- …Azure, AWS, or Hadoop + 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment + 3-5 years of experience in working with complex data to ... **Job Description** **Job Summary** The Sr Analyst, Risk and Quality Reporting role supports Molina's ...include quantifying, measuring, and analyzing financial/ performance management and utilization metrics To all… more
- Molina Healthcare (Madison, WI)
- …indicators. + Ensures each Tier 1, Tier 2 and Tier 3 provider has quality & risk adjustment performance goals and execution plans to meet committed goals, ... Sets and manages performance goals, ensuring providers meet quality and risk adjustment targets through coaching and consistent engagement. Tracks and… more
- CenterWell (Madison, WI)
- …(including Annual Proof of Documentation (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
- Datavant (Madison, WI)
- …+ Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding ... The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for… more
- Datavant (Madison, WI)
- …coding teams deliver on them through collaboration with those responsible for coder performance management . + Drive quality assurance and performance ... Apixio's products, how to effectively use Apixio's coding and management tools, and ensuring alignment on coding quality. +...clients understand the shifts and trends happening in the risk adjustment coding space. **What you will… more
- Datavant (Madison, WI)
- …team coordinates efforts between internal resources and customers in support of custom risk adjustment projects and reports on project status to all ... technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding, physician workflow, and/or electronic health… more
- Molina Healthcare (Madison, WI)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those… more
- Amazon (Pewaukee, WI)
- …service operations - 5+ years of increasing responsibilities in people and performance management - Experience implementing lean principles and process ... lead continuous improvement initiatives to reduce conditional and ergonomic risk in our processes to ensure a safe and...with both site and regional leadership - Measure site's performance against published requirements in EHS policies. For all… more
- Amazon (Kenosha, WI)
- …to the role * 7+ years of increasing responsibilities in people and performance management * CPR/First Aid Certification, or willingness to obtain within ... 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
- BMO Financial Group (Milwaukee, WI)
- …Provides independent assurance on the quality and effectiveness of internal control, risk management , and governance systems and processes to support senior ... Conducts audit engagements to critically assess management and internal control processes, approving the nature,...the development of new strategies and plans, opportunities and risk , to obtain an understanding of the control environment.… more
- Actalent (Milwaukee, WI)
- …tooling/fixtures, and facility supplies for production support. + Conduct machine risk assessments and upgrade equipment guarding. + Design, implement, maintain, and ... in developing, implementing, and sustaining safety programs to ensure effective risk control and compliance with applicable laws, regulations, and standards. +… more
- Travelers Insurance Company (Madison, WI)
- …compensation and benefits program, employees are also eligible for performance -based cash incentive awards. **Salary Range** $129,200.00 - $213,200.00 **Target ... service on assigned claims, while engaging in indemnity & expense management . Promptly manage claims by completing essential functions including contacts,… more