- Atrium Health (Charlotte, NC)
- …This leaders will be a key subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on priorities ... Atrium Health is seeking a Registered Nurse (RN) Manager , Clinic for a nursing job in Charlotte,...for Enterprise Population Health within the Southeast region. The Manager of Clinical Documentation Integrity is responsible for the… more
- CVS Health (Dover, DE)
- …more personal, convenient and affordable. Position SummaryThe Revenue Integrity (RI) Sr. Manager , Business Consultant ( Risk Adjustment ) is responsible for ... management and monitoring of designated market/territory specific to the performance of risk adjustment (RA). The role is responsible for all aspects of driving… more
- CVS Health (Jackson, MS)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager , Risk Adjustment (Medicare) will be responsible for leading ... Risk Adjustment for the Georgia & the Gulf States Medicare...This role will have responsibility in maintaining and improving risk adjustment accuracy by partnering closely with… more
- CVS Health (Atlanta, GA)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager , Risk Adjustment (Medicare) will be responsible for leading ... Risk Adjustment for the Georgia & the Gulf States Medicare...have specific responsibility for Georgia in maintaining and improving risk adjustment accuracy by partnering closely with… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Analytics Manager Exemption Status Exempt Department Finance Manager Title Director, Risk Adjustment Direct Reports ... Summary Responsible for the development, execution, and management of the risk adjustment data analytics programs for the Medicare Advantage and Medicaid… more
- Corewell Health (Grand Rapids, MI)
- Job Summary As a key leader in the Risk Adjustment team, the successful candidate will develop and execute strategies, programs and projects for both the MA and ... clients/providers. The position also serves as a subject matter expert for the Risk Adjustment team. Essential Functions + Manages the daily workflow of Risk … more
- Highmark Health (Columbus, OH)
- …- Medicare Advantage, Medicaid, Affordable Care Act + Demonstrated knowledge of risk adjustment principals + Health Insurance and/or managed care industry ... time and budget and under circumstances involving multiple moderate-probability, moderate-impact risk factors. Manages a matrix group of employees and contractors… more
- CVS Health (Northbrook, IL)
- …Reporting to the Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the Manager will work closely with cross-functional ... opportunity for an enthusiastic team player to lead local market Medicaid Provider Engagement risk adjustment initiatives across the Aetna Better Health Plans.… more
- CVS Health (Hartford, CT)
- …We have an outstanding opportunity for an enthusiastic team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. ... Reporting to the Lead Director of Medicaid Risk Adjustment National Programs, this individual will work closely with risk adjustment programs to monitor… more
- CVS Health (Hartford, CT)
- …management, health and economic outcomes, and other business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics, the Sr. Analyst will ... care more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a critical role in extracting, analyzing,… more
- The Cigna Group (Mclean, VA)
- … Risk Adjustment goals. The role will work under the direction of Risk Adjustment Manager to reach overall operational market goals in conjunction ... to meet established goals. **Core Responsibilities:** + In partnership with Risk Adjustment Manager , support the training and development of Senior… more
- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** Risk Adjustment **Equal Employment Opportunity** CareFirst BlueCross ... BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age,… more
- CVS Health (Hartford, CT)
- …responsible for provider/vendor/network outreach, production management, and reporting for the Risk Adjustment Retrospective Program for ACA, Medicare, MMP and ... DSNP lines of business. Required Qualifications 5+ years of finance related experience generally required, healthcare finance a plus. Excellent communication skills and negotiations skills Advanced Microsoft Excel, SAS skills desired Advanced skills in turning… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... and to support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III will provide a key leadership role in the … more
- Point32Health (Canton, MA)
- …this individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD) including risk adjustment ... and timely resolution of production issues pertaining to CMS and risk adjustment data submission, including issue investigation, business requirements,… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with physicians and ... to review medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure opportunities. A major… more
- HSBC (New York, NY)
- …all relevant risk areas eg credit risk , counterparty credit risk , securitization, and Credit Valuation Adjustment ('CVA'). GRPA currently maintains a ... establishment of interpretations and governance processes to mitigate regulatory risk . GRPA also monitors new rule developments and other...City area may be considered. As our Regulatory Policy Manager - Credit Valuation Adjustment you will:… more
- ChenMed (Miami, FL)
- …Disease Detection (HRDD) Manager will be responsible for supporting the company Risk Adjustment program and ensuring that risk exposures and ... non-clinician office staff on coding guidelines, documentation standards, and appropriate Medicare Risk Adjustment (MRA) procedures. + Assists in education and… more
- Bloomberg (New York, NY)
- Product Manager - Credit Risk **New York, NY** Posted Apr 1, 2024 - Requisition No. 124196 Bloomberg's Multi-Asset Risk System (MARS) is a comprehensive ... exposure and ready themselves for any turn of events. We are seeking a Product Manager to join the MARS Enterprise Risk Product department as an individual… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4476650) Apply Property Claims Manager ... Work: Manager . Supervision Received: Administrative direction from the State Risk Administrator (Claims). Supervision Exercised: Direct line over State Risk … more
