- Kaiser Permanente (Santa Clara, CA)
- …On this team, you'll provide the strategy recommendations that drive operational and process improvement, as well as face challenging opportunities to influence the ... future of health care.. Corona Data Center Admin 1830 California Ave., 1830 California Ave., Corona,California, 92881Kaiser Permanente Building 500 NE Multnomah St., 500 NE Multnomah St., Portland,Oregon, 97232R more
- Central California Alliance for Health (Scotts Valley, CA)
- …the Advanced Analytics Manager you will manage and lead advanced analytics , including population health, risk adjustment , stratification, and prediction, ... for healthcare data analytics , with strength in population health, risk adjustment , predictive modeling and program evaluation Experience and excitement… more
- Unknown (Irving, TX)
- …overarching Health Outcomes & Analytics program. Under the direction of the System Director of Health Outcome & Analytics , the program director is ... development and implementation of Health Outcomes & Analytic programs Work with System Director of Health Outcomes & Analytics to convene and facilitate provider… more
- Unknown (Irving, TX)
- …Encounter Data Manager reports to the Director of Business Intelligence and Risk Adjustment Analytics . This position provides leadership, and direction ... Data Team (EDT) as well as support to the Director . This position will be responsible for reviewing and...feedback for educational purposes related to Coding/Documentation Guidelines and Risk Adjustment . The HCC Coding & Encounter… more
- Christus Health (Irving, TX)
- …overarching Health Outcomes & Analytics program. Under the direction of the System Director of Health Outcome & Analytics , the program director is ... the development and implementation of Health Outcomes & Analytic programsWork with System Director of Health Outcomes & Analytics to convene and facilitate… more
- Christus Health (Irving, TX)
- …Encounter Data Manager reports to the Director of Business Intelligence and Risk Adjustment Analytics . This position provides leadership, and direction ... Data Team (EDT) as well as support to the Director . This position will be responsible for reviewing and...feedback for educational purposes related to Coding/Documentation Guidelines and Risk Adjustment . The HCC Coding & Encounter… more
- Centene Corporation (Omaha, NE)
- ProfessionalPosition Purpose: The Director , Risk Adjustment is a key strategic leader responsible for driving the Risk Adjustment for various lines ... relates to Risk Adjustment , Clinical Risk Groups and Quality initiatives. Use analytics ...least two years of experience with Risk Adjustment . Experience at a Manager or Director … more
- Premera Blue Cross (Mountlake Terrace, WA)
- …the department for adherence.Work with actuarial and analytics departments to establish risk adjustment analytics such as predictive modeling for coding ... best work and where best-in-class talent comes, stays, and thrives! As the ** Director of Risk Adjustment ,** you will be responsible for Premera's Risk … more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …team projects is required. Experience can run concurrently. Prior experience with Medicare Risk Adjustment analytics , operations, and processes is required. ... Strong knowledge of end-to-end Medicare Risk Adjustment analytics , operations, and processes is required. Management of end-to-end Medicare Risk … more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: + Reporting to the Director , Risk Adjustment and Value Based Payment, the Risk Adjustment Informatics Specialist has an important ... and new operational processes to ensure optimal and compliant participation in Risk Adjustment , HCC Coding, and other value based reimbursement models.… more
- Highmark Health (Pittsburgh, PA)
- …cycle business and operations. Functions as the business owner of risk analytics , provider engagement, risk adjustment data submissions (RAPS, EDPS, , ... best practices and processes to ensure efficacy and accuracy of risk adjustment programs. Identifies and recommends both strategic and tactical improvements to… more
- Aetna (Chicago, IL)
- …univariate and multivariate statistical analyses, predictive modeling, case-mix and risk adjustment methods and tools. Outlier identification. *Experience ... and innovative team at Aetna as Dir, Reporting & Analytics -Compliance. This position will promote and enforce compliance...to: + Oversees the business and technical portions of analytics for all areas within compliance + Inspires and… more
- BJ's Wholesale Club (Westborough, MA)
- Director of Insurance & Risk Management Job Apply now " Date: May 18, 2019 Location: Westborough-Home Office, MA, US, 01581 Company: BJ's Wholesale Club, Inc. ... succeed. Job Summary Reporting directly to the Treasurer, the Director of Insurance and Risk Management will...with retail claims experience. Strong foundation in underwriting, claims adjustment , litigation management and risk control as… more
- Navigant Consulting Inc. (Washington, DC)
- …STARS- quality programs, Medicare Advantage operations, medical management, contract negotiations, risk adjustment and /or reimbursement processes. + Experience ... contracting, shared savings arrangements, STARS programs, reimbursement, managed care programs and/or risk adjustment consulting. + Ability to see the broader… more
- Centene Corporation (Charlotte, NC)
- …preferred. Master's degree and supervisory experience preferred. Encounters experience preferred. Risk Adjustment Analytics : Bachelor's degree in data ... related field. 9+ years of data analysis experience, preferably in risk adjustment analytics with a healthcare payor or 7+ years of related IT experience,… more
- Navigant Consulting Inc. (Washington, DC)
- …using a variety of data layouts and process improvement models. + Assist with risk adjustment audit projects in close coordination with other data analytics ... consulting role + Health policy analysis and health economics research. + Risk predication and adjustment methods, and performance based procurement, +… more
- Black Hills Corporation (Rapid City, SD)
- …to lead the creation of our new data governance initiative. Our Director of Data Governance will lead and manage enterprise data governance, collaborating ... sale closing cost assistance, appraised value home purchase option, relocation adjustment allowance, destination purchase closing cost assistance, and a partial home… more
- Health First (Melbourne, FL)
- …teams. * *Specific Knowledge/Skills: *Knowledgeable in value-based payer programs, risk - adjustment * *Specific Knowledge/Skills: *Advanced project management ... with Health First commitments of Quality/No Harm, Customer Service and Stewardship the/ Director of/Population Health will report to the CEO and Florida Market… more
- Henry Ford Health System (Troy, MI)
- …(areas of focus include provider contracting, utilization management, care management, risk adjustment , operational efficiencies, product design, etc.). + ... and implementation of all aspects of HAP Medical Economics reporting and analytics including pharmacy expenses, and fee schedule and provider contract analytics… more
- Ascension Health (Nashville, TN)
- …the opportunityto lead the development of Ascension's Medicare Risk Adjustment analytics program. Responsibilities: + Partner with Director of Risk ... Adjustment Shared Services team, and market operations to build the risk adjustment analytics portfolio + Utilize internal EMR data and external payor… more
