- Fallon Health (Worcester, MA)
- …on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose** : The primary role of the Risk Adjustment Analyst (RAA) will be to function as the Claims SME ... with encounter submissions vendor for resolution + Work with the Senior Risk Adjustment Analyst on monthly operational and performance reporting and… more
- Elevance Health (Woburn, MA)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... consolidating processes for forecast and month-end results. + Serve as an analyst and advisory to both internal and external stakeholders, developing value-based… more