- Shimadzu Scientific Instruments (Chicago, IL)
- Physical Measurements Support Engineer Location: Chicago, IL Salary: $93,000 - $95,000 per year Who are we? Established in 1975, Shimadzu Scientific Instruments is ... one's career and personal development ADDITIONAL COMPENSATION: For Service, Technical Support , Marketing & Sales Roles: Additional compensation is available through… more
- Shimadzu Scientific Instruments (Minneapolis, MN)
- …one's career and personal development ADDITIONAL COMPENSATION: For Service, Technical Support , Marketing & Sales Roles: Additional compensation is available through ... Jersey and California: Additional compensation is offered through a Cost-of-Living Adjustment (COLA) Position Summary: Shimadzu Scientific Instruments is seeking a… more
- Shimadzu Scientific Instruments (Los Angeles, CA)
- …$79,000 - $81,000 per year * Based on your location, a Cost of Living Adjustment (COLA) is available as part of the total compensation package Who are we? ... one's career and personal development ADDITIONAL COMPENSATION: For Service, Technical Support , Marketing & Sales Roles: Additional compensation is available through… more
- Shimadzu Scientific Instruments (Winston-Salem, NC)
- …one's career and personal development ADDITIONAL COMPENSATION: For Service, Technical Support , Marketing & Sales Roles: Additional compensation is available through ... a robust pipeline of qualified prospects. Customer Engagement: Provide consultative support and product guidance to customers. Deliver technical presentations and… more
- CareFirst (Baltimore, MD)
- …all lines of business. Drives member and provider intervention close Risk Adjustment gaps. Support the development and delivery of enterprise-wide training ... organization's goals. + Establish standards for and provide advisory support in the completion of Risk Adjustment processes, as well as govern, support , and… more
- Blue KC (Kansas City, MO)
- … adjustment regulations + Maintain expert knowledge of Medicare Advantage risk adjustment regulations to support runout and future CMS audits. + Ensures ... discount program** **Job Description Summary:** The Director, Government Programs Risk Adjustment & Audit assumes overall leadership of the risk adjusted revenue… more
- Commonwealth Care Alliance (Boston, MA)
- …for the design, development, and maintenance of data systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition ... develop, and maintain automated data pipelines and systems to support risk adjustment and encounter data submissions (RAPS/EDPS). + Implement and optimize… more
- Trinity Health (Albany, NY)
- …with regulations as well as supporting SPHPMA, IHANY and Trinity Health's risk adjustment and payer value-based plan initiatives to support revenue and ... and accuracy of documentation and corresponding ICD-10-CM choices to support proper payment in the risk adjustment ...to support proper payment in the risk adjustment model in which the healthcare system participates. +… more
- Molina Healthcare (Roswell, NM)
- …Analysis and forecasting of program value and underlying population trends in risk adjustment to provide analytic support for finance, pricing and actuarial ... will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex… more
- Datavant (Lincoln, NE)
- …CMS-HCC, HHS-HCC). Well-versed in the key underlying healthcare data sources that support risk adjustment measurement and analysis. + **Analytical & Strategic:** ... our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and execution of… more
- Molina Healthcare (UT)
- …and present findings to leadership + Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting + Identify ... Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate… more
- Molina Healthcare (Des Moines, IA)
- …and maintain risk score models. + Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting. + Extract ... **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting.… more
- LA Care Health Plan (Los Angeles, CA)
- …Matter Expert (SME) for the data processing, reporting, and analytics required to support the Risk Adjustment department operations Chief Architect for reporting ... and analytics in support of Risk Adjustment operations for multiple lines of businesses. Serves as key contact for both internal (LA Care) and external (Vendors,… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** The Analyst, Risk Adjustment -Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. ... Designs and develops Suspect, Targeting, and Tracking System to support Molina's Prospective and Retrospective Interventions. **Knowledge/Skills/Abilities** + Assist… more
- Molina Healthcare (Albuquerque, NM)
- …tracking, chart retrieval, file transmissions, and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, ... in the daily operations of all aspects of risk adjustment data validation related activities, including, but not limited...and Medicaid Services (CMS) regulations and guidelines of risk adjustment data * Understand and oversee RAPS and EDPS… more
- Elevance Health (Woodbridge, NJ)
- …are not limited to: + Analyzes and develops SAS and SQL programming to support Medicare Advantage risk adjustment initiatives. + Performs data mining and ... **Medicare Risk Adjustment Advanced Analytics Analyst** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,**… more
- Martin's Point Health Care (Portland, ME)
- …certified as a "Great Place to Work" since 2015. Position Summary The Risk Adjustment Analyst provides analytic, technical, and decision support to the Risk ... timely, and consistent information enabling informed decisions related to risk adjustment activities. The Analyst provides subject matter expertise based on content… more
- Highmark Health (Blue Bell, PA)
- …to implement. + Develop, oversee and adapt infrastructure (processes, systems, talent) to support an effective risk adjustment program as CMS/HHS/DPW evolves the ... and Management: + Provide strategic leadership and management for the Risk Adjustment Accuracy Management Department. + Develop and oversee programs to ensure… more
- Lynch Consultants, LLC (Rockville, MD)
- …projects or investments, helping to identify potential risks or areas requiring adjustment . + Support internal processes for improving the efficiency and ... Lynch is seeking an experienced Budget and Financial Management SME to support a range of financial activities, including budget planning, financial reporting, and… more
- Insight Global (Tampa, FL)
- Job Description Insight Global is hiring HCC/Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . Must ... or AHIMA, or a CCS. Will be coding more risk adjustment vs profee. Most of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code… more
