- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of ... complete and accurate medical record documentation and coding. The Program Manager will contribute to the development...program results, and represent and advocate for the Risk Adjustment Team's business interests in corporate… more
- LA Care Health Plan (Los Angeles, CA)
- Risk Adjustment Strategies and Initiatives Analytics Program Manager II Job Category: Accounting/Finance Department: Risk Adjustment Strategies & ... Risk Adjustment Strategies and Initiatives Analytics Program Manager II plays a valuable role...cross-functional teams on technical initiatives in risk adjustment data platforms. The Program Manager… more
- Point32Health (Canton, MA)
- …assessments, prospective data decision support and other new programs for the Risk Adjustment department. The Sr. Program Manager will also help to lead ... who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Sr. Program Manager will be responsible for the implementation, execution and… more
- Corewell Health (Grand Rapids, MI)
- …performance indicators (KPIs) measure productivity, quality and overall impact of the company's risk adjustment program , including reporting KPIs on a ... for remote work (CA and NY). Positioned in the Risk Adjustment Department, the Manager ,...model changes; ensures appropriate operational response to regulatory and risk adjustment program changes. Responsible… more
- Trinity Health (Albany, NY)
- …+ Identifies learning opportunities for healthcare providers and coders and reports to the Manager of Risk Adjustment Coding & Audit to develop and ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Risk Adjustment Auditor Educator** -St. Peter's...plans (VBP), Medicare Advantage (MA) and Medicare shared savings program (MSSP) as well as a deep understanding of… 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, ... to support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key leadership role in the Risk… more
- Elevance Health (Woodbridge, NJ)
- **Medicare Risk Adjustment Advanced Analytics Analyst** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... unless an accommodation is granted as required by law._ The **Medicare Risk Adjustment Advanced Analytics Analyst** is responsible for employing advanced… more
- Elevance Health (Louisville, KY)
- …consult with business leaders and internal partners to apply the insights to drive risk adjustment program innovation and enhancement, to target the right ... **Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site...members for the right service, to measure program outcomes, and to support information-based strategic decision making.… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Risk Adjustment Revenue Director (Remote/Hybrid) **Cost Center:** 682891390 SHP-Strategic ... (United States of America) **Job Description:** **JOB SUMMARY** The Risk Adjustment Revenue Director is a finance...or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition… more
- Marshfield Clinic (Marshfield, WI)
- …Risk Adjustment Services is a key leader for commercial and government program actuarial and risk adjustment topics. This role provides financial ... exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** 682891378 SHP-Actuarial **Scheduled Weekly… more
- Ankura (New York, NY)
- …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and...and payer denial information + Works with the Project Manager to analyze and understand client concerns and develop… more
- WGNSTAR (De Soto, KS)
- …all corporate safety protocols and report unsafe conditions. + Assist Adjustment Technicians with routine installations and/or maintenance on assigned products. + ... check sheet, report creation, and submission to Installation Site Manager . + Attend daily field start-up meetings. + Work...is occasionally exposed to toxic or caustic chemicals and risk of electrical shock. + The noise level in… more
- Amazon (Seattle, WA)
- Description Amazon Books is seeking a Books Risk Management (BRM) Risk Prevention Program Manager to lead our most complex root cause investigations and ... translate findings into strategic improvements across key program areas. This role owns root cause investigation, corrective action definition, and drives the… more
- Henry Ford Health System (Troy, MI)
- …to the Director, Risk Adjustment and Value-Based Payment, the Program Manager is responsible for complex program management, strategic planning, ... The Program Manager - Population Health & Value-Based Payment has an important role in a high-profile group tasked with implementing system-wide improvements… more
- Amazon (Seattle, WA)
- … risk and maximize trust in Amazon.com. Key job responsibilities As a Sr. Program Manager in BRP, you will be responsible for creating and managing roadmaps ... like to innovate and simplify? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest...seasoned individual who has excellent experience as a Sr. Program Manager and comes from a similar… more
- Amazon (Irvine, CA)
- …at Amazon scale. Amazon Security is seeking an exceptional Sr. Technical Program Manager to join the Amazon Security Risk and Compliance Team. We are looking ... like to talk to you. As a Sr. Technical Program Manager , you will be responsible for...the implementation of the programmatic solutions. - Manage security risk engineering initiatives and drive activities including coordination of… more
- Amazon (Seattle, WA)
- …to deliver for our customers. Be part of a team where your actions as a Program Manager could enhance systems and processes that minimize risk and maximize ... the company to determine how we can minimize the risk associated with new initiatives. We are seeking a...associated with new initiatives. We are seeking a Sr. Program Manager who can provide leadership to… more
- Molina Healthcare (Louisville, KY)
- …& ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position will...activity, risk adjustment targeting and reporting systems * 2+… more
- Amazon (Seattle, WA)
- …and systems would you build to maximize customer satisfaction? Amazon is seeking a Program Manager who is passionate, has strong bias for action, and has ... thought about what it takes to detect and mitigate risk among hundreds of millions of customer transactions and...experience leading multi-organizational projects. We are seeking a Program Manager who can drive process improvement… more
- Amazon (Seattle, WA)
- Description We are seeking a Program Manager to lead global collaboration between our Worldwide Catalog Risk team and regional business teams. You'll drive ... features, ensuring regional nuances are addressed. 3. Establish and track program health metrics that balance protection efficacy with regional business impact.… more