- Datavant (Juneau, AK)
- …life 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… more
- Point32Health (Canton, MA)
- …and consultation activities supporting the complete and accurate capture of risk adjustment data. To be successful, the Manager will need to rely on ... The Manager will build relationships and drive risk adjustment engagement with senior leaders at...: The Manager will be responsible for risk adjustment program management and key supporting… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… 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 - ... where you matter.** **A Brief Overview** Responsible for activities focused around Risk Adjustment (RA) initiatives and Healthcare Effectiveness Data Information… more
- Catholic Health Initiatives (Little Rock, AR)
- …and risk for the value hub. + Through Risk Management/Auditor Manager , implements a risk adjustment coding department in appropriate Arkansas and ... and guidelines for these new processes. + Support the Risk Auditor Manager of closely working with...Health Management experience required + Must have experience with risk adjustment coding and value based reimbursement… more
- HCA Healthcare (Campbell, CA)
- …colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be a manager in ... join our team as a Director of Quality and Risk Adjustment . We care for our communities...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 ... an accommodation is granted as required by law. The ** Risk Adjustment Process Expert** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Fort Worth, TX)
- …**Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data leaders, ... risk adjustment experts, and developers in the...medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program, this role supports… 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… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or...Quality (CPHQ) or Certification in Health Care Quality and Manager (CHQM) * Registered Nurse * Solid knowledge of… 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
- Convey Health Solutions (Fort Lauderdale, FL)
- …skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role, you will drive ... the strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that our deliverables support the marketplace… more
- Molina Healthcare (Covington, KY)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...engine activity, risk adjustment targeting and reporting systems *… more
- Capital One (New York, NY)
- Senior Manager , Technology Change Risk Oversight Capital One is one of the fastest growing organizations in the world today, powered by our passion for our ... advice and to deliver high-impact results. As the **Senior Manager , Technology Change Risk Oversight** you will...risk owners on the design and implementation or adjustment of mitigating controls associated with emerging technologies +… more
- City of Lakeland (Lakeland, FL)
- Risk Manager Print (https://www.governmentjobs.com/careers/lakelandfl/jobs/newprint/5142649) Apply Risk Manager Salary $89,335.64 - $134,004.00 ... This position has management responsibility for 11 employees. The Risk Manager has wide latitude for independent...all claims activity, providing a forum for discussion and adjustment of the processing of all insurance and self-insured… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Senior Manager , Data Architecture (Financial Services Specialist 4 ( Risk ), SG-27) Occupational Category ... the stability of the global financial system.The Financial Services Specialist 4 ( Risk ) will be responsible for developing and implementing strategies to monitor … more
- Basin Electric Power Cooperative (Bismarck, ND)
- Job Title: DIRECTOR/ MANAGER , RISK & INSURANCE (DOE) Posting Start Date: 10/3/25 Job Description: **POSITION PURPOSE** This position is open to varying levels of ... **KEY SKILLS** + Knowledge of property and casualty insurance, claims adjustment , and risk analysis. + Proficient with personal computers and Microsoft Word,… more
- Actalent (Skaneateles, NY)
- Actalent is hiring a Risk Manager in the Skaneateles, NY area! Job Description: + You will use systems engineering knowledge & processes to identify and control ... expert to assist functional owners of elements of the risk management file with planning and execution. + Demonstrated...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due… more
- Amazon (WA)
- …balance, we invest in mechanisms which allow us to accurately identify and mitigate risk , and to quickly correct and learn from our mistakes. This strategy includes ... continuously evolving enforcement policies, iterating our Machine Learning risk models, and exercising high‐judgement decision‐making where we cannot apply… more
- Amazon (Boston, MA)
- …AI development, we want to speak with you. Amazon AGI organization is hiring a Sr. Risk Manager to lead risk assessment and policy management throughout its ... the science and engineering teams. Key job responsibilities Lead ongoing risk assessments and corresponding policy management. Recommend opportunities to business… more
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