- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment ... end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products. **ESSENTIAL FUNCTIONS:**… more
- Point32Health (Canton, MA)
- …engagement and consultation activities supporting the complete and accurate capture of risk adjustment data. To be successful, the Manager will need to rely ... results and the quality, accuracy and identification of member health conditions. The Manager will build relationships and drive risk adjustment engagement with… more
- Avera (Sioux Falls, SD)
- … Specialist will work closely with the Director of Quality and Risk Services, Manager of Risk Adjustment , Manager of Quality, Quality Coordinator - ... matter.** **A Brief Overview** Responsible for activities focused around Risk Adjustment (RA) initiatives and Healthcare Effectiveness Data Information Sets (HEDIS).… more
- Humana (Salt Lake City, UT)
- …in the risk adjustment methodology. This role reports to the Risk Adjustment Manager and will work closely with market operations, finance, and clinical ... effectively influence a provider to adopt best practices in the risk adjustment methodology. The successful candidate will possess extensive, in-depth and broad… more
- Justice, Bureau of Prisons/Federal Prison System (Seagoville, TX)
- …live within the complex family circumstances and assist him in developing new adjustment techniques. The Case Manager helps the offender view problems ... of a varying nature. This counseling deals with institutional adjustment , US Parole commission, release planning, and interpersonal communications, individual… more
- Elevance Health (West Des Moines, IA)
- **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement:** **Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... accommodation is granted as required by law._ The **Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer ... Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional Coder...Quality (CPHQ) or Certification in Health Care Quality and Manager (CHQM) * Registered Nurse * Solid knowledge of… more
- WGNSTAR (Richardson, TX)
- …QC check sheet, create a report, and submit it to the Installation Site Manager . + Attend daily field meetings. Work with minimum supervision, as needed, and ... recommend technical solutions/resolutions to engineering groups. + Perform regular preventative maintenance on machines according to documented requirements. Make continuing visual and audible observations of the machines to detect any abnormalities. +… more
- Datavant (Madison, WI)
- …mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in this together!) ... Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $27-$30 USD To ensure the safety of patients and staff, many of our… more
- American Express (Atlanta, GA)
- …agency Studio resourcing or services. Oversee resource change management. + Studio Manager must flex staffing adjustment decisions accordingly in close support ... in digital and beyond. We are seeking a Studio Manager to oversee the OnBrand Design Studio and Content...Design Studio and Content Production Studio. As a Studio Manager , this role will oversee daily operations, trafficking projects… more
- Bechtel Corporation (Reston, VA)
- …change, obtaining accurate estimates of the hours involved, and recommending budget adjustment . + Ensures engineering efforts with Project Manager , Procurement, ... project teams will be formed and the Project Engineering Manager (PEM) will be assigned to lead a single...the United States._ # Job Summary: The Project Engineering Manager (PEM) will lead the development and execution of… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …Health Solutions company seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. ... strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that our deliverables support the marketplace with… more
- Healthfirst (NY)
- …system via our value-based model.** **More about the team, and the role:** **As Manager , Risk Score Accuracy your role will be critical towards our efforts to ... NY (3 days on-site) 100 Church Street, NYC** **Summary:** + **The Manager , Risk Score Accuracy is responsible for managing risk score expectations, communicating… more
- Hensel Phelps (Pleasanton, CA)
- …California Region)** + Base Salary: $81,000 - $93,000 + COLA (Cost of Living Adjustment ): $4,800 - $33,000 (depending on project location ) + Total Direct Annual ... Compensation: COLA ( Cost of Living Adjustment + Base Salary) $85,800 - $126,000 (depending on...craftsmanship at the New Ukiah Courthouse project.** The Safety Manager is responsible for supporting the senior safety … more
- City of New York (New York, NY)
- …Case Management is responsible oversight and management of the intake, adjustment , and facilitation, coordination, advocacy, planning, discharge and re-entry for ... and/or custody of ACS within an assigned secure detention facility. The Case Manager Specialists at the Crossroads Juvenile Center are responsible for the intake and… more
- Blue KC (Kansas City, MO)
- …program** **Job Description Summary:** The Government Programs Submissions and Vendor Data Manager serves as an expert in Government Programs for the company, and ... Maintains expert knowledge of Medicare Advantage & ACA Risk Adjustment models + Responsible for all formal risk ...Adjustment models + Responsible for all formal risk adjustment submissions to CMS or applicable regulatory bodies ie… more
- AdventHealth (Hinsdale, IL)
- …Street, Hinsdale, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance ... nurses, and other members of the care team). The Social Work Care Manager , in collaboration with the patient/family, care manager nurses, nurses, physicians… more
- AdventHealth (Shawnee, KS)
- **Case Manager Relief Days AdventHealth Shawnee Mission** **All the benefits and perks you need for you and your family:** + Vision, Medical & Dental Benefits from ... Mission, Kansas. **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance… more
- The ODP Corporation (Boulder, CO)
- **Overview** The Retail Assistant Store Manager at Office Depot plays a pivotal role in driving total sales and service growth within our stores. Additionally, your ... and logistics activities, and prioritizing unparalleled client satisfaction. The Assistant Manager will help lead a customer-centric environment, engage with the… more
- Centene Corporation (Springfield, IL)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Portfolio Manager will perform various analytic and strategic tasks in order to ... support the Risk Adjustment team within the IL Health Plan Division. The...team within the IL Health Plan Division. The Portfolio Manager will analyze portfolio data, documentation, and processes and… more