- Somatus (Mclean, VA)
- …provider Network Management and the Quality Program to implement tactics for risk adjustment optimization, particularly for provider and member engagement ... Overview The Director, Medicare Risk Adjustment (MRA) will lead the...coding improvement opportunities, provider coding improvement opportunities, provider coding accuracy, risk score trending and… more
- The Cigna Group (Mclean, VA)
- …populations in an operational market. The role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This ... assigned market. Lead Analyst will be primary contact for provider groups on Risk Adjustment ... office diagnosis coding. Implement provider office education , where necessary, and provide formal training… more
- Bloomberg (Washington, DC)
- Bloomberg Economics - GeoEconomics - Country Risk Analyst **Washington, DC** Posted Mar 20, 2024 - Requisition No. 123986 With close to 50 economists and 200 ... and policy. We are seeking an expert on country risk analysis to join our growing team. **THE ROLE:**...the lead in building data sets and models that provide a more systematic way of understanding countries' geoeconomic… more
- Highmark Health (Washington, DC)
- … Risk Adjustment coding including documentation improvement, provider education , analyzing reports, and identifying process improvements. **ESSENTIAL ... anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with… more
- Lockheed Martin (Bethesda, MD)
- … education and support to the business units on workers' compensation matters\. ‒ Provide the following risk management support to the Missiles & Fire Control ... to the business units\. ‒ Manage the reporting and adjustment of claims\. ‒ Ensure compliance with all policy...M&A activity as necessary\. Respond to business units' ongoing risk management service needs; provide evidence of… more
- PNC (Tysons Corner, VA)
- …the company's success. As a Quantitative Analytics/Modeling Consultant within PNC's Model Risk Management organization, you can be based in Pittsburgh, PA or Tyson's ... validation of a mix of the following models: derivative pricing models, Value at Risk (VaR) models, asset and liability models measuring interest rate risk and… more
- Humana (Washington, DC)
- …an in-depth evaluation of variable factors. This job is within the Medicare risk adjustment finance department. This department is a combination of finance, ... predicted cost, project future revenue as a result of risk adjustment , and communicate these projections to...Requirements:** + WAH requirements: Must have the ability to provide a high speed DSL or cable modem for… more
- Washington Suburban Sanitary Commission (WSSC) (Laurel, MD)
- …revenue by monitoring significantly complex accounts and expeditiously resolving all adjustment and payment issues + Monitors billing reports to ensure accounts ... and Billing Error Reports, and monitors open High Bill Adjustment Cases. + Monitors the quality and volume of...Hearing panel and WSSC Water customers. + Evaluates high risk accounts to implement recommendations for resolution. + Works… more
- RELX INC (Annapolis, MD)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... informed decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/government About our Team… more
- Bloomberg (Washington, DC)
- …will work closely with our modelling, geoeconomics and country teams to provide quantitative and qualitative estimates of the impact of trade and industrial ... Partner with global analysts (CGE modelers, geoeconomic analysts) to work on larger-scale risk scenarios (eg a Taiwan crisis). + Collaborate with CGE modelers to… more
- Somatus (Mclean, VA)
- …collaborative physician to provide oversight to nurse practitioner(s) performing risk adjustment visits in relevant states. + Provides physician leadership ... multi-state market geography. In addition, the Population Health Physician may support provider engagement and market level client relationships with a focus on… more
- RELX INC (Washington, DC)
- …and their networks. Our work products fill intelligence gaps with data analysis, provide timely and actionable findings to enable operational units to action our ... support in a multi-disciplinary team environment to deliver analytic products and provide appropriate briefing and visualizations for the customer that capture key… more
- Sedgwick (Washington, DC)
- …heart of everything we do. Caring counts** Sedgwick is a leading global provider of technology-enabled risk , benefits and integrated business solutions. Every ... Best-in-State Employer Vocational Specialist **PRIMARY PURPOSE** **:** To develop and provide vocational services as specified by the referral source for individuals… more
- RELX INC (Alexandria, VA)
- …and their networks. Our work products fill intelligence gaps with data analysis, provide timely and actionable findings to enable operational units to action our ... support in a multi-disciplinary team environment to deliver analytic products and provide appropriate briefing and visualizations for the customer that capture key… more
- RELX INC (Washington, DC)
- …to measure and improve client satisfaction of our products. You will provide excellent customer support and value-added services to ensure retention and renewal ... with minimal supervision to develop strategies focused on customer retention, risk mitigation strategies, and renewal maintenance. + Identifying key contacts and… more
- Geological Survey (Reston, VA)
- …a basic requirement for entry into the SES, each applicant must provide evidence of progressively responsible executive leadership and supervisory experience that is ... applicants are best qualified. Each candidate's background including experience, education , awards, self-development, and training will be reviewed. This information… more
- Aerotek (Hanover, MD)
- …financial and performance reporting, compensation, and Ad hoc analysis. Mitigates company risk through collaboration with sales teams and field partners to ensure ... per the 1/24 rule [respond within one (1) hour, provide resolution within twenty four (24) hours]. + Primary...functional level all policies and guidelines. + Mitigates company risk through collaboration with sales teams and field partners… more
- Health Resources and Services Administration (Rockville, MD)
- …project plans, business cases, requirements documents, statements of work (SOW), risk management plans, cost estimates, and other documentation to support the ... and technical requirements and management plans for projects and contracts, provide outreach activities, measure milestones, and develop standards for performance… more
- Marriott (Bethesda, MD)
- …SUMMARY** The Senior Program Specialist, Global Performance Services, will provide analytical, process management, data management, and communication support over ... supervision of inbox support, originating manager changes, validating manual adjustment requests, maintaining policy documentation, authorizing system access, providing… more
- Mitsubishi Chemical Group (Washington, DC)
- …in the chemical manufacturing environment. + Conduct security assessments and risk analyses to identify vulnerabilities in OT systems and recommend mitigation ... meet our cybersecurity standards for OT systems. **Training and Awareness** + Provide cybersecurity awareness training focused on the unique risks and requirements… more