- Humana (Hartford, CT)
- …Agile, dedicated Partnership Leaders, and collective Product Ownership to deliver integrated risk adjustment (RA) and quality (Stars) solutions that leverage ... caring community and help us put health first** The Senior Software Engineer solves complex business problems and issues...experience with and knowledge around the CMS Stars and/or Risk Adjustment programs with a focus in… more
- Deloitte (Hartford, CT)
- …with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + Experience with risk adjustment mechanisms + Experience with health care reform and working knowledge ... organizational performance. Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice,… more
- Point32Health (CT)
- …claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment . + Knowledge of Medicare and Medicaid reimbursement is a plus ... members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract...and mentoring to all members of the team. The Senior Manager will directly support complex analysis related to… more
- Deloitte (Stamford, CT)
- …Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... Capital Actuarial and Insurance Solutions Practice, you will assist Deloitte Senior Managers and Partners in providing strategic and technical consulting services… more
- Humana (Hartford, CT)
- …focused in the areas of Provider Contracting, Provider Engagement and Quality, Risk Adjustment , Clinical, and Financial Operations. + Leadership development, ... Market President for the Northeast Region. Reporting to the East Division Senior Vice President, the Regional Market President manages the development, operations,… more
- Conviva (Hartford, CT)
- …collaboration with healthcare providers + Medical record review knowledge + Medicare Risk Adjustment knowledge + Extensive knowledge of coding guidelines (ie ... and presentation skills **Preferred Qualifications** + Bachelor's degree + Certified Risk Coder (CRC) + Experience interacting with healthcare providers **Additional… more
- Humana (Hartford, CT)
- …on supporting Humana's senior -focused primary care operations including: + Support risk adjustment activities and reviews, including ongoing support of the ... full compliance with applicable laws and regulations, and protection against external risk . **Use your skills to make an impact** **Required Qualifications** + Juris… more