- 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, North Carolina.Job Description & RequirementsSpecialty:… more
- CVS Health (Dover, DE)
- …more personal, convenient and affordable. Position SummaryThe Revenue Integrity (RI) Sr. Manager , Business Consultant ( Risk Adjustment ) is responsible for ... monitoring of designated market/territory specific to the performance of risk adjustment (RA). The role is responsible...gap between RI National and Market level resources and Programs to drive RAF results. Key Responsibilities: + Lead… 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...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… 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...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Analytics Manager Exemption Status Exempt Department Finance Manager Title Director, Risk Adjustment Direct Reports ... Responsible for the development, execution, and management of the risk adjustment data analytics programs ...analyses and reporting to engage key stakeholders and communicate program results to the organization. + Analyze RAF build… more
- Corewell Health (Grand Rapids, MI)
- …reporting metrics, including scorecards for both internal and external stakeholders. + Communicate Risk Adjustment program to internal & external audiences ... Responsible to identify risk areas within existing Risk Adjustment programs and execute...design and develop core educational materials for the prospective risk adjustment program . + Services… more
- Highmark Health (Columbus, OH)
- … - Medicare Advantage, Medicaid, Affordable Care Act + Demonstrated knowledge of risk adjustment principals + Health Insurance and/or managed care industry ... risks that might jeopardize successful achievement of the desired results of a program , develop risk mitigation strategies and tactics, and implement risk… more
- CVS Health (Northbrook, IL)
- … adjustment strategies to strengthen Medicaid risk score performance. + Ensure Risk Adjustment programs are aligned with local market strategies to ... Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the Manager will...programs with the goal of assessing member health risk and address member care needs to achieve better… more
- CVS Health (Hartford, CT)
- … Adjustment National Programs , this individual will work closely with risk adjustment programs to monitor performance, track activities and drive ... outstanding opportunity for an enthusiastic team player to manage Risk Adjustment National Programs for...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… 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 ... to make health care more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a critical role in extracting,… more
- The Cigna Group (Mclean, VA)
- …to base salary._** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational ... goals. The role will work under the direction of Risk Adjustment Manager to reach...health plan coding initiatives guidelines and requirements of the Risk Adjustment program to ensure… more
- CareFirst (Baltimore, MD)
- …/plans (all benefits/incentives are subject to eligibility requirements). **Department** Risk Adjustment **Equal Employment Opportunity** CareFirst BlueCross ... programs /plans, and 401k contribution programs...perform work directly or indirectly on Federal health care programs . **PHYSICAL DEMANDS:** The associate is primarily seated while… more
- CVS Health (Hartford, CT)
- …is responsible for provider/vendor/network outreach, production management, and reporting for the Risk Adjustment Retrospective Program for ACA, Medicare, ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your… 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)
- …ad hoc analyses specific to risk score trends, data/claims submissions and program performance to support risk adjustment analytics + Perform data ... this individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD) including risk adjustment … 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)
- …Risk 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
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …(Underwriting and Loss Prevention) by the absence of responsibility for the comprehensive risk program . Differs from the State Risk Administrator (Claims) ... Property Claims Manager (State Risk Adjuster 6) Print...Claims & Disaster and Recovery Management Unit is a program manager position within ORM, and provides… 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
- PNC (Pittsburgh, PA)
- …in a location within PNC's footprint. We are seeking an accomplished Senior Validation Manager to lead our Market Risk Model and Counterparty Credit Risk ... Senior you will be a member of the Independent Risk Management team reporting to PNC's Chief Model ...Credit Valuation Adjustment (CVA), and Funding Valuation Adjustment (FVA). The Senior Validation Manager will… more
