- UnitedHealth Group (Eden Prairie, MN)
- …to start Caring. Connecting. Growing together. As part of the Optum Care National Risk Adjustment Healthcare Economics team , we support Medicare Advantage Care ... assess opportunity, forecast, and analyze risk . If you eat, breathe, and sleep risk adjustment like we do, then this is the right place for you! If you're… more
- UnitedHealth Group (Eden Prairie, MN)
- …scale. Join us to start Caring. Connecting. Growing together. As the Optum Care National Risk Adjustment Healthcare Economics Team, we support all risk ... gaps, assess opportunity, forecast, and analyze risk . If you're not a risk adjustment expert, but hungry, driven and willing to learn, we will help you… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of ... Medicare Risk Adjustment and Analytics. This role will manage the process of developing and maintaining the risk adjustment strategic plan. This position… more
- Memorial Healthcare System (Hollywood, FL)
- …Professional Coder, HCC - Hierarchical Condition Category Coder, CRC - Certified Risk Adjustment Coder, or CPMA Certified Professional Medical Auditor.Additional ... Certified Professional Coder, HCC - Hierarchical Condition Category Coder, CRC Certified Risk Adjustment Coder, or CPMA Certified Professional Medical Auditor.… more
- HealthCare Partners (Garden City, NY)
- …working in close partnership with the Customer Engagement Center (CEC), Pharmacy, Risk Adjustment , Utilization Management, Quality, Network Relations, and other ... internal teams to ensure accurate understanding and achievement of quality and risk adjustment metrics. Serves as a quality resource for providers and field… more
- Second Wave Delivery Systems, LLC (New York, NY)
- …experience in delivering business analytics and reporting projects; Deep knowledge of risk adjustment models and calculations for Medicare Advantage and ... Affordable Care Act strongly preferred Strong executive-level client facing skills and the ability to communicate complex analytical concepts with confidence to a non-technical executive audience Experience with strategic planning using quantitative techniques… more
- CLS-Group (New York, NY)
- …the requirements for identifying, assessing, managing, monitoring and reporting participant risk at CLS, including calculation and adjustment of aggregate ... the market, our unrivalled global settlement infrastructure reduces systemic risk and provides standardization for participants in many of...CLS products are designed to enable clients to manage risk most effectively across the full FX lifecycle -… more
- Everlywell (Austin, TX)
- …with a strong understanding of HIPAA, CMS regulations, value-based care models, risk adjustment , and population health management strategies specific to Medicare ... Advantage, Dual Eligible, and Medicaid populations. Experience with agile development methodologies and tools (Jira, Confluence, etc.). Experience leveraging AI tools and technologies to enhance product development efficiency, with demonstrated curiosity and… more
- New directions (Palm Beach Gardens, FL)
- …comprehensive home-based primary care solutions, as well as prospective and retrospective risk adjustment programs. Our national value-based medical group is ... and proficiency with electronic medical records. Have a strong understanding of risk adjustment models for the Center for Medicare and Medicaid Services (CMS)… more
- AA Inclusion (San Diego, CA)
- About the job Risk Assurance Analyst This position is responsible for assessing internal controls to protect the credit union against loss or regulatory violations ... Support: 500+ staff SUPERVISORY RESPONSIBILITIES: The incumbent reports directly to the Risk Assurance Manager. There are no direct reports to this position. NATURE… more
- Ur-Energy (Casper, WY)
- …systems, equipment, and components to identify hazards, defects, and the need for adjustment or repair, and to ensure compliance with codes. Advise management on ... or airborne particles; toxic or caustic chemicals; and energized electrical components with risk of electrical shock; and may be required to wear a respirator. There… more
- CVS Health (Chicago, IL)
- …Quality Improvement Utilization Management Network Management Health Plan Management Documentation/ Risk Adjustment Clinical Compliance & Policy Development This ... includes representing Oak Street to external partners and creating relationships and partnerships that support our mission and our economics. Population Health: As a part of the Population Health program at Oak Street Health, the Senior Medical Director is… more
- Franklin Templeton (Baltimore, MD)
- …are unable to offer visa sponsorship/transfer for this position. What is the Investment Risk Team responsible for? The Investment Risk Team's primary function is ... to provide the second line of defense for Investment Risk . What are the ongoing responsibilities of an Investment...If you believe that you need an accommodation or adjustment to search for or apply for one of… more
- Optum CA (Ontario, CA)
- …team player, adaptable to changing priorities Preferred Qualifications: Previous Risk Adjustment experience Previous Quality STAR/HEDIS experience 1+ ... years of previous managed care setting experience California Residents Only : Th e salary range for this role is $109,513 to $160,000 per year. Pay is based on several factors including but not limited to local labor markets, education, work experience,… more
- Amazon (Seattle, WA)
- …innovative solutions? Do you like to innovate and simplify? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest place to transact online. BRP ... As such, BRP designs and builds the software systems, risk models and operational processes that minimize risk...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Hueman Risk Adjustment Solutions (Utica, NY)
- …actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around ... believe that happiness should be a fundamental part of every role in risk assessment. Our opportunities provide flexibility, extra income, and integration into your… more
- AgriBank (St. Paul, MN)
- …regarding Treasury policies and procedures relating to transfer pricing, including risk assessment, product and MCD assignment, fee structure, contract servicing ... processes to accommodate new loan products or changing market risk elements Scrubs loan data and ensures its integrity...necessary, makes decision on course of action for MCD adjustment , product adjustment , fee waivers (up to… more
- The Amynta Group (Overland Park, KS)
- …of their book of business and will engage in activities tied to risk selection and to customer service. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES Production ... profitability. A production underwriter maintains balance between distribution and risk selection to drive profitable growth. A production underwriter understands… more
- Workoo Technologies (Philadelphia, PA)
- …work, behavior health, condition deterrence, wellness advertising as well as actions adjustment (working with at risk populaces). Telecommuting Demands. Demanded ... to possess a devoted work area developed that is actually divided coming from various other living areas as well as provides details privacy. Potential to always keep all provider vulnerable files secure (if applicable). Should stay in a place that can easily… more
- Amazon (Arlington, VA)
- Amazon's Global Risk Management Claims team is seeking a talented attorney to support our rapidly growing and evolving corporate auto program. You will lead strategy ... handling new issues that arise in a business forward way while addressing risk . Typical transactions will range from standard claims settlement to complex high… more
