- Humana (Bismarck, ND)
- …to drive efficient, effective, and compliant risk adjustment processes. This Risk Adjustment Risk Management lead position will be responsible ... Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and...Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk… more
- Datavant (Bismarck, ND)
- …educational and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a ... deep understanding of the Risk Adjustment business domain and is skilled...navigating ambiguity + Excellent communication skills + Well-developed time management skills and demonstrable experience of prioritizing work to… more
- Wolters Kluwer (Bismarck, ND)
- …| Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** **Coder Workbench Solution:** ** Risk Adjustment Software | Health Language ... or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space,...+ Provide comprehensive and insightful sales reports to senior management . + Identify and leverage market opportunities for business… more
- Highmark Health (Bismarck, ND)
- …with a range of strategic initiatives, specifically focusing on the evolution of Risk Adjustment Accuracy Management (RAAM) and Highmark's clinical data ... Extensive knowledge of Health Insurance and/or Provider operations, especially related to Risk Adjustment . + Experience in operational improvement and process… more
- Datavant (Bismarck, ND)
- …for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... findings on a daily basis, including education on time management and best coding practices. + Provide coaching and...the role. + Report trends for education opportunities to management for review and/or action. + Motivate team members… more
- Datavant (Bismarck, ND)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... skills, problem solve, ability to work in a remote environment, and time management skills. + Working knowledge of the business use of computer hardware and… more
- Datavant (Bismarck, ND)
- …met. + Report trends for education opportunities in both quality and productivity to management for review and/or action. + Assists in coding to meet the monthly ... 95% or higher. + Any other tasks required by management . **What you will bring to the table:** +...ability to work in a remote environment and time management skills + Working knowledge of the business use… more
- Datavant (Bismarck, ND)
- …strategies. The ideal candidate will have a deep understanding of value-based care, risk adjustment , and the healthcare provider ecosystem ( risk -bearing ... prospects. + Serve as a trusted advisor, demonstrating a strong understanding of risk adjustment , HCC coding, and value-based care operations. + Liaison account… more
- Humana (Bismarck, ND)
- …of a broader team with diverse capabilities that support Risk Adjustment Process Consultation & Improvement, Project Management and Strategic Consultation & ... put health first** As a Senior Project Manager for Risk Adjustment Strategy and Business Support, you...Bachelor's degree + 5 or more years of project management experience + Experience managing medium to large scale… more
- RELX INC (Bismarck, ND)
- …and Counter Terrorist Financing, identity authentication and verification, fraud and credit risk mitigation, and customer data management . About the Team ... About the Business LexisNexis Risk Solutions is a global leader in ...solutions or services Qualifications + Proven experience in account management , with a focus on renewals, retention, and expanding… more
- RELX INC (Bismarck, ND)
- …Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn ... that make a real impact for customers and colleagues? About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within… more
- Amentum (Bismarck, ND)
- …and leadership training - Building responsive and effective prison management systems to repatriate, rehabilitate, reintegrate, and prosecute foreign terrorist ... verifying and assessing the home situation and the offender's adjustment while under supervision. + Provide information on the...to: a) identify additional information needs; b) assess offender risk ; c) create and update a case plan; d)… more
- Sedgwick (Bismarck, ND)
- …unassisted up to $10M, including having the ability to address most complex adjustment issues pertaining to damages and coverage; to assist on even larger losses ... + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive… more
- Sedgwick (Bismarck, ND)
- …regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National Account. **ESSENTIAL ... + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive… more
- Travelers Insurance Company (Bismarck, ND)
- …service on assigned claims, while engaging in indemnity & expense management . Promptly manage claims by completing essential functions including contacts, ... investigation, damages development, evaluation, reserving, litigation management , negotiating and resolution. Provides consulting and training and serves as an… more
- Humana (Bismarck, ND)
- …+ Partnership & Engagement + Serve as a key liaison with partners in Risk Adjustment and other enterprise teams to align priorities, communicate progress, and ... feedback loop, executive presentation. Critical skills include independent project management ; data and analytics expertise with PowerBI, SQL, cloud;… more