- Merck & Co. (Durham, NC)
- …and other groups as required.The Lab Senior Maintenance Technician will provide maintenance supporting vaccine process equipment operations. Takes appropriate action ... and delivered on schedule. Responsible for supporting departmental vision that will provide for continuous improvement in all aspects of the operation.Must be able… more
- 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 ... quality, and finance to support Corporate Goals. Participates in the ongoing education of providers and other healthcare team members to identify medical record… more
- The University of Vermont Health Network (Burlington, VT)
- …supervision to group therapists; contribute to medical student and psychiatry resident education and training; provide consultation and limited direct service ... bonus will be paid out as a $2,500 pay adjustment in the first paycheck following the completion of...around behavior management and crisis stabilization; provide clinical supervision and training of psychology residents and… more
- The Cigna Group (Mclean, VA)
- …populations in an operational market. The role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This ... assigned market. Lead Analyst will be primary contact for provider groups on Risk Adjustment ... office diagnosis coding. Implement provider office education , where necessary, and provide formal training… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Key Responsibilities -Establish and maintain collaborative relationships with assigned providers / provider offices to improve risk adjustment coding and ... of documentation changes + 3 years Risk Adjustment Coding/Auditing and experience with direct provider ... Adjustment Coding/Auditing and experience with direct provider education + Health Insurance/ managed care… more
- Apex Health Solutions (Houston, TX)
- …and compliance with risk adjustment requirements. Reports to: AVP, STARs & Risk Adjustment Location: Houston, TX EDUCATION : * High School Diploma or ... SUMMARY: Risk Adjustment Coder is responsible for...of medical records requests for all risk adjustment projects. * Performs telephonic outreach to provider… more
- Henry Ford Health System (Troy, MI)
- …the physician education department to promote provider engagement and education around Risk Adjustment , HEDIS, and other value-based payment ... The Director of Risk Adjustment & Value Based Payment...stipulated by MACRA. + Collaborates to establish performance metrics, provide feedback, and influence key stake holders to continuously… more
- The Cigna Group (Memphis, TN)
- …Stars gaps in care. The role will work under the direction of Risk Adjustment & Stars Provider Education Supervisor and/or Manager to reach overall ... operational market. The role will be accountable for assigned provider groups reaching risk adjustment ... office diagnosis coding. Implement provider office education , where necessary, and provide formal training… more
- Centene Corporation (Indianapolis, IN)
- …sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment . Provides education for HEDIS measures, appropriate ... and NCQA requirements. + Collects, summarizes, trends, and delivers provider quality and risk adjustment ...encounters). + Identifies specific practice needs where Centene can provide support. + Develops, enhances and maintains provider… more
- ChenMed (Miami, FL)
- …staff on coding guidelines, documentation standards, and appropriate Medicare Risk Adjustment (MRA) procedures. + Assists in education and transition with ... (HRDD) Manager will be responsible for supporting the company Risk Adjustment program and ensuring that ...in documentation and diagnoses. + Be the market level provider interface and liaison between corporate and HRDD. +… more
- Dignity Health (Bakersfield, CA)
- …Work with network providers to improve clinical documentation to better support CMS Risk Adjustment guidelines. - Develop education materials and tools ... and its clinical integrated networks throughout to identify opportunities for improved quality, risk adjustment coding performance. The Value Based Coder is a… more
- CVS Health (Northbrook, IL)
- …Better Health Plans. Reporting to the Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the Manager will work closely ... an enthusiastic team player to lead local market Medicaid Provider Engagement risk adjustment initiatives...administratively supported. + Lead the development and implementation of provider education strategies and action plans through… more
- Tufts Medicine (Burlington, MA)
- … documentation. Summarizes findings for internal and external parties and will provide provider education when necessary. **Job Description** **Minimum ... lead efforts to evaluate the HCC/DxCG coding practices and provide analyses and recommendations to improve overall provider...provider documentation as it pertains to coding and risk adjustment guidelines. Reviews medical records to… 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 ... and CMS compliance requirements. This position manages the prospective education team who provide chart audit, review...also serves as a subject matter expert for the Risk Adjustment team. Essential Functions + Manages… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Analytics Manager Exemption Status Exempt Department Finance Manager Title Director, Risk Adjustment Direct Reports Risk ... Oregon. Job Summary Responsible for the development, execution, and management of the risk adjustment data analytics programs for the Medicare Advantage and… more
- Somatus (Mclean, VA)
- …provider Network Management and the Quality Program to implement tactics for risk adjustment optimization, particularly for provider and member engagement ... Overview The Director, Medicare Risk Adjustment (MRA) will lead the...coding improvement opportunities, provider coding improvement opportunities, provider coding accuracy, risk score trending and… more
- LA Care Health Plan (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 ... course of action. This position will work in collaboration with the Enterprise Risk Adjustment department leadership and provide leadership/guidance in… more
- CVS Health (Atlanta, GA)
- …to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (Medicare) will be responsible for leading Risk ... This role will have specific responsibility for Georgia in maintaining and improving risk adjustment accuracy by partnering closely with leadership from our key… more
- CVS Health (Jackson, MS)
- …to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (Medicare) will be responsible for leading Risk ... in Mississippi. This role will have responsibility in maintaining and improving risk adjustment accuracy by partnering closely with leadership from our… more
- Centene Corporation (Raleigh, NC)
- …an educational work plan for WellCare contracted providers. + Conduct provider education and training regarding risk adjustment to help to ensure ... Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate… more
