- CareOregon (Portland, OR)
- Job Title Risk Adjustment Analytics Manager Exemption Status Exempt Department Finance Manager Title Director, Risk Adjustment Direct Reports Risk Adjustment and ... Services (CMS) Hierarchical Condition Category (HCC) Risk Adjustment Factor ( RAF ) models (v24 and v28) and accurately calculate ...RAF ) models (v24 and v28) and accurately calculate RAF scores for each member. + Maintain and update… more
- Boston University (Boston, MA)
- The Senior Grant Manager is responsible for all post-award financial functions for the assigned contract and grant portfolio. The Manager will work closely with ... staff to ensure timely and applicable budget, expenditures and projections. The Manager will collaborate with Research staff, Division Chief, Clinical Services, and… more
- AdventHealth (Maitland, FL)
- …of experience in RAF coding + 3 years' experience as a manager /supervisor + Bachelor's degree in business, health care, or related field. Minimum seven years ... role you'll contribute:** The Population Health Services Organization (PHSO) Senior Manager of Clinical Documentation Integrity (CDI) will be responsible to manage,… more
- Citigroup (Elk Grove Village, IL)
- Senior VP of **Mortgage Portfolio Manager ** in The Risk Appetite, Capital, & Analytics (RACA) unit seeks to **catalyze transformational risk analytics for US ... and innovation **KEY RESPONSIBILITIES:** This role reports into the Director, Portfolio Manager for Retail Banking, and manages a team of highly skilled analyst… more
- American Express (New York, NY)
- …and regulatory expectations. **How will you make an impact in this role?** The Manager /Sr Manager will be reporting to Director - Funding & Liquidity, MROG. ... line stakeholders * Manage the Funding and Liquidity Risk Appetite Framework ( RAF ) and support senior management and Committee/Board reporting In addition, the … more
- CVS Health (Dover, DE)
- …personal, convenient and affordable. Position SummaryThe Revenue Integrity (RI) Sr. Manager , Business Consultant (Risk Adjustment) is responsible for the management ... gap between RI National and Market level resources and Programs to drive RAF results. Key Responsibilities: + Lead regular meetings with Markets to review strategy,… more
- CVS Health (Hartford, CT)
- …to revenue integrity excellence. This position will contribute to Medicaid RAF performance through the delivery of measurable and actionable solutions while ... working within Medicaid regulatory and state specific contractual requirements. The ideal candidate will possess strong HEDIS knowledge and/or Quality experience. Required Qualifications + 3+ years of project management experience. Preferred Qualifications +… more
- Truist (Atlanta, GA)
- …and minutes. 5. KRIs management process and reporting. 6. Coordination of RAF metrics, process, and assessment; and monitor action plans resulting from assessment. ... 7. Lead data analytics team to provide dashboard and ad hoc reporting. 8. Monthly risk reporting by BU sub organizations and overall risk aggregation reporting for the BU. 9. Ensure Retrospective Review process is activated as required. 10. Participate in… more
- Vectrus (Honolulu, HI)
- …and Indian Ocean. The site consists of the MUOS Radio Access Facility ( RAF ) and three MUOS Satellite Earth Terminals; satellite communications capabilities are part ... of the DoD Combined Communications Gateway Geraldton (C2G2) facility and three MET Terminals operated and maintained in partnership with Australia Department of Defence (ADOD) and to establish other arrangements required for that Ground Station to operate as a… more
- MD Anderson Cancer Center (Houston, TX)
- …- 5pm** **SUMMARY** Senior Telehealth Coordinator is a position within the FM RAF Campus Services- THS department . This position provides and coordinates technical ... and ADA guidelines are followed.g. Submit and coordinate with Manager the follow up on 3-5000 and 4-info tickets.h....and direction to TOC staff in the absence of Manager . 3. **Handles projects for Manager as… more
- Vectrus (Honolulu, HI)
- …and Indian Ocean. The site consists of the MUOS Radio Access Facility ( RAF ) and three MUOS Satellite Earth Terminals; satellite communications capabilities are part ... responsible for local and remote operations. The DOD Gateway will have an Operations Manager on each shift whose responsibilities include, but may not be limited to… more
- University of Colorado (Aurora, CO)
- …data management issues. + Serve in the Clinical Research Advisory Forum ( RAF ) and the Clinical Research Coordinators Committee (CRC). **Work Location:** **Why Join ... for the PVDC Program. This position will report to the Clinical Trials Program Manager and the Medical Director of the CLB. They will also work with collaborating… more