- Trinity Health (Fort Lauderdale, FL)
- …Medicare programs and regulations including fraud and abuse and Medicare Hierarchical Condition Coding Risk Adjustment + Excellent analysis and presentation ... experience in a leadership role in a capacity developing and implementing risk adjustment , coding , wellness assessment, and analytics programs and processes… more
- The Cigna Group (Miramar, FL)
- …Market Provider Performance, Sales, Health Services, Clinical, Stars & Risk Adjustment , Finance, Marketing, Cross-Segment Contracting, Provider Relations, ... provider partner relationships in order to drive optimal performance on Stars, risk adjustment , utilization management, and overall financial performance. +… more