- Premera Blue Cross (Mountlake Terrace, WA)
- … Risk Adjustment Operations? We invite you to join our team as the ** Manager of Risk Adjustment Operations** , where you will lead our core operations ... 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… more
- HCA Healthcare (Campbell, CA)
- …patients with purpose and integrity. We care like family! Jump-start your career as a(an) Manager of Quality - Risk Adjustment Programs today with HCA ... for benefits may vary by location._** Come join our team as a(an) Manager of Quality - Risk Adjustment Programs. We care for our community! Just last year,… more
- Datavant (Columbus, OH)
- …to realize our bold vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role ... of its analysts. We are looking for a hands-on manager who has experience and interest in providing guidance...and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to… more
- CVS Health (Columbus, OH)
- …has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will support data analysis, ... or Medicaid - Knowledge of health insurance concepts - Experience working in risk adjustment - Experience working at a health plan - Attention to detail and… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Coding Manager Requisition # 24887 Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors Manager ... requirements. You must reside in Oregon or Washington. Job Summary The Risk Adjustment Coding Manager is responsible for the development, execution and… more
- Highmark Health (Columbus, OH)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to… more
- Trinity Health (Syracuse, NY)
- … adjustment payment models. . Identify coding discrepancies and work with risk adjustment auditor/ manager to communicate deficiencies to providers. Core ... conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team environment and is responsible… more
- CareOregon (Portland, OR)
- …Auditor Requisition # 24856 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Director Risk Adjustment Department Finance Pay and ... through AHIMA or AAPC + For Finance Department only: Current Certified Risk Adjustment Coder (CRC) or completion within one year of hire Preferred +… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** 682891378 SHP-Actuarial **Scheduled Weekly ... **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment Services is a key leader...a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she… more
- CenterWell (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medicare Risk Adjustment Strategy Lead in the PCO risk adjustment area ... clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement… more
- CVS Health (Boston, MA)
- …act as a liaison with other key business areas, internally and externally. The Medicare Risk Adjustment Sr. Manager will play a critical role in extracting, ... the Lead Director of Medicare Revenue Integrity, the Sr. Manager , will work closely with various RI Lead Directors...position is responsible for supporting all assigned market level risk adjustment activities and processes related to… more
- Molina Healthcare (Columbus, OH)
- …SKILLS & ABILITIES:** * 4+ years of program and/or project management experience in risk adjustment and/or quality * 4+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is...engine activity, risk adjustment targeting and reporting systems *...engine activity, risk adjustment targeting and reporting systems * 4+ years of… 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
- Molina Healthcare (Columbus, OH)
- …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
- Premier Health (Dayton, OH)
- …Ltd., a wholly-owned captive insurance company. Essential Duties & Functions: o The Risk Manager assists Premier Health and its subsidiaries in preserving the ... o In the performance of proactive clinical and operations risk management, the Risk Manager ...the Director for indemnity and expense reserve setting and adjustment , working with outside counsel to prepare staff for… more
- Amazon (San Diego, CA)
- Description As a Senior Risk Manager , you will spearhead operational excellence and automation initiatives within our Compliance and Safety program. This pivotal ... enhance our risk management capabilities. The Senior Risk Manager will develop and execute strategies...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- City of Lakeland (Lakeland, FL)
- Risk Manager Print (https://www.governmentjobs.com/careers/lakelandfl/jobs/newprint/4806235) Apply Risk Manager Salary $87,583.96 - $131,376.47 ... 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
- Amazon (Arlington, VA)
- Description As a Senior Risk Manager at Amazon, you will spearhead operational excellence and automation initiatives within our Compliance and Safety program. ... enhance our risk management capabilities. The Senior Risk Manager will develop and execute strategies...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Goodyear, AZ)
- Description The Global Resilience Manager , Global Resilience, enables comprehensive security risk preparedness and response process's, building resiliency ... - Create detailed resilience frameworks, standards and programs to enable risk change identification, assessment and management. Creating mechanisms, standards and… more
- Amazon (Nashville, TN)
- …TRC is looking for a high-judgment individual to join us as a Transportation Risk Manager , responsible for assessing and prioritizing risk coverage across ... internally and externally. We are looking for a Transportation Risk Manager to:1) analyze risks of the...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
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