- 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
- Datavant (Juneau, AK)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the data ... strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations, database management, and… 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
- Justice, Bureau of Prisons/Federal Prison System (Morgantown, WV)
- …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
- Justice, Bureau of Prisons/Federal Prison System (Forrest City, AR)
- …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
- HCA Healthcare (Campbell, CA)
- …of Quality and Risk Adjustment with HCA Healthcare, you can be a manager in an organization that is devoted to giving! **Benefits** HCA Healthcare, offers a ... our team as a Director of Quality and Risk Adjustment . We care for our communities and employees! HCA...Adjustment and Quality programs Required + Experience at Manager or Director level Required + Experience with Quality… more
- Elevance Health (Mason, OH)
- **Risk Adjustment Process Expert I** **Location:** Louisville, KY **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering ... accommodation is granted as required by law. The **Risk Adjustment Process Expert** is responsible for assisting in identifying...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan ... client care documentation for billing. + Monitors and informs manager of records that are not completed timely. Monitors,...**Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not obtaining, must obtain… 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
- 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
- US Foods (Buffalo, NY)
- …Sales, and Merchandising on the Key Outcomes and actions to achieve Inventory Adjustment results. + Other duties assigned by manager . **SUPERVISION** : + ... SITE (https://www.myworkday.com/usfoods/d/task/2998$47185.htmld) Join Our Community of Food People! The Manager , Inventory Control is responsible for managing inventory and… 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
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** The Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk ... adjustment outcomes through effective provider engagement activities. Ensures Health...have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to… more
- Molina Healthcare (Fort Worth, TX)
- …The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data leaders, risk adjustment ... government lines of business impacted by the regulatory risk adjustment payment model. They will be assist with implementing...medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program, this role supports… 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
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