- Indy Gov (Indianapolis, IN)
- Community Adjustment Support Staff Print (https://www.governmentjobs.com/careers/indianapolis/jobs/newprint/4892326) Community Adjustment Support Staff ... 11:59 PM Eastern + Description + Benefits Position Summary The Community Adjustment Support Staff's primary responsibility is to provide administrative … more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Provider Reimbursement Adjustment Coordinator to support the Provider Reimbursement team. Upon ... with Provider Relations Department including claims checks, technical questions, or adjustment requests. + Responsible for monitoring of assigned providers. +… more
- CareFirst (Baltimore, MD)
- … Analytics team is hiring a lead data analyst with deep experience in risk adjustment . This person will support the Director of Risk Adjustment by ... adjustment KPIs, delivering insights for prospective and retrospective risk adjustment operational decisions, and working independently to improve process and… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Board (SEBB) lines of business as well as all medical record retrieval for risk adjustment and some retrieval support for quality/HEDIS. As a key member of our ... systems and issuing direct letter requests to providers in support of Quality and Risk Adjustment initiatives. Join this mission driven and passionate team in… more
- Highmark Health (Pittsburgh, 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
- Banner Health (AZ)
- …SUMMARY This position provides clinical and operational coordination of all Risk Adjustment efforts in support of achieving organizational strategic initiatives ... (HCCs). CORE FUNCTIONS 1. Serves as a subject matter expert in support of Risk Adjustment Factor (RAF) tools for Banner Medical Group. Coordinates the business… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Coding Manager Requisition # 24887 Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors Manager Title Director, ... Risk Adjustment Pay and Benefits Estimated hiring range $109,500 -...establish clinic and EMR workflows and education programs in support of coding accuracy and completeness initiatives. + Establish… more
- HCA Healthcare (Campbell, CA)
- …like family! Jump-start your career as a(an) Manager of Quality - Risk Adjustment Programs today with HCA Healthcare. **Benefits** HCA Healthcare, offers a total ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...our team as a(an) Manager of Quality - Risk Adjustment Programs. We care for our community! Just last… more
- Trinity Health (Syracuse, NY)
- …work queues as part of the pre-visit and post-encounter workflows, including queries to support addressing HCC codes for Risk Adjustment before a claim is ... **Employment Type:** Full time **Shift:** **Description:** Rist Adjustment experience. Ability to conduct Education if needed. Auditing Experience Posting POSITION… more
- Robert Half Accountemps (Long Beach, CA)
- Description The Director for Quality and Risk Adjustment is responsible for leading enterprise development of the Medicare Star Ratings and Enterprise Risk ... Adjustment strategies that ensure our risk adjusted and Star...payment and risk sharing models, collaborative care models, data/analytics support , member engagement, health improvement and management programs and… more
- Northrop Grumman (Robins AFB, GA)
- …equipment 4. Perform maintenance, disassembly, rework, repair, replacement, re-assembly, or adjustment of various ground support equipment systems in accordance ... you to join our Team as a SCA Ground Support Equipment Mechanic Level 2. This position is located...position.** This position may require travel in order to support the Mission. This travel may be within the… more
- CVS Health (Harrisburg, PA)
- …At-Time-of-Care Risk Adjustment solutions + Provide data analytic and evaluation support as assigned + Conduct data deep dives to identify unique and innovative ... will play a key collaborative role in supporting the organization's risk adjustment strategies and operations through advanced data analysis. This position involves… more
- Molina Healthcare (Columbus, OH)
- …Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures the core set ... Health Plan have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to improve performance through… more
- Bayer (Redwood Falls, MN)
- …standards, and act as the conduit for all feedback, compliance, production schedule, and adjustment from support teams to the sites and back out to the ... external partners; + Support the safe and timely delivery of quality supply...efficient operation; + Perform duties in a manner that support overall site Key Metrics, including safety, quality, TIP… more
- Datavant (Columbus, OH)
- …experiences to realize our bold vision for healthcare. We're looking for a Risk Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department ... tracks performance over time + Create guides and participant materials + Provide support to client relations for trainings needed for client audit findings +… more
- Datavant (Columbus, OH)
- …our bold vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the Business Analytics ... and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to be operating proactively vs reactively.… more
- Highmark Health (Columbus, OH)
- …**Job Description :** **JOB SUMMARY** This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent ... and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to build/strengthen patient care… more
- Marshfield Clinic (Marshfield, WI)
- **Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!** **Job Title:** Director of Actuarial and ... Risk Adjustment Services **Cost Center:** 682891378 SHP-Actuarial **Scheduled Weekly Hours:**...Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment Services is a key leader for commercial and… more
- MTC (Woodville, MS)
- …documentation and records. 7. Provide ongoing educational, vocational, personal and social adjustment support on an individual and group basis. Provide direct ... aid to offenders with personal needs or problems, including sickness, injury, family problems, and other issues, when needed 8. Conduct ongoing evaluation of progress in offender's case plan, and write progress reports document, professionally and… more
- Adecco US, Inc. (Rochester, NY)
- …policy development and goal setting + Oversee resident assessments, care planning, and adjustment support + Provide supervision and guidance to department staff ... + Coordinate discharge planning beginning at the time of admission + Engage in occasional community outreach efforts + Utilize a wide range of social work concepts, practices, and procedures + Apply creativity and sound judgment to accomplish departmental… more
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