- Datavant (Washington, DC)
- … risk adjustment charts + Understanding of Medicare, Commercial and Medicaid risk adjustment business logic and coding + Knowledge and understanding ... vision for healthcare . We're looking for a Risk Adjustment Trainer to help us uplevel...members of Ciox team + Expertise and understanding of risk adjustment business logic +… more
- Highmark Health (Washington, DC)
- …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 ... and deliver large and small scale projects that advance business outcomes and achieve strategic objectives relative to new...and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives… more
- Humana (Washington, DC)
- …community and help us put health first** The Director, Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning support ... segments and the company at large. The Director, Risk Adjustment Strategy Advancement requires an in-depth...for a seasoned leader to lead strategic planning and business management for the team. The primary objective of… more
- Humana (Washington, DC)
- …+ Demonstrating an understanding of departmental and organizational goals and how risk adjustment compliance supports boarder business priorities. Making ... caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- CenterWell (Washington, DC)
- …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
- CenterWell (Washington, DC)
- …first** The Market Partnership and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy and targeted initiatives aimed at ... processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct...trends and develops internal initiatives to meet the ever-evolving business needs. Stays on the cutting age of technology… more
- Humana (Washington, DC)
- …consumer experiences **Preferred Qualifications** + Experience working with Medical Claims or other healthcare data + Medicare Risk Adjustment Experience + ... This position utilizes financial projection and analytics skills while working in Medicare risk adjustment . Additionally, you will work to build consensus with… more
- RELX INC (Washington, DC)
- About the Business : LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Healthcare vertical, our solutions focus on ... transforming operations and improving health outcomes across the healthcare industry. While our solutions are centered around robust data assets, we also leverage… more
- Datavant (Washington, DC)
- …BS degree in business , technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding, physician ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...between internal resources and customers in support of custom risk adjustment projects and reports on project… more
- Humana (Washington, DC)
- …Experience in healthcare interoperability, including FHIR + Familiarity with CMS Risk Adjustment and Quality Measure reporting + Experience with ... improved member experience. The Lead Product Manager understands the healthcare industry and various changes it is going through....monitor the efficacy of products and use customer and business partner feedback to adjusts products over time for… more
- CenterWell (Washington, DC)
- …in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex ... and welcoming environment for all. PCO-IPA Our Independent Practice Association business consists of 182 affiliate organizations, 13,000 providers taking care of… more
- Evolent (Washington, DC)
- …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:**… more
- Bristol Myers Squibb (Glen Burnie, MD)
- …+ Understanding, adapting, and effectively using technology in various aspects of healthcare business and interacting with HCPs. + Utilizing various digital ... use of BMS products while also focusing on overall business results and performance objectives while exemplifying BMS values....preferred 5+ years of pharmaceutical or biotechnology experience as healthcare sales / MSL / HCP / nurse. +… more
- Bristol Myers Squibb (Towson, MD)
- …+ Understanding, adapting, and effectively using technology in various aspects of healthcare business and interacting with HCPs. + Utilizing various digital ... use of BMS products while also focusing on overall business results and performance objectives while exemplifying BMS values....preferred 5+ years of pharmaceutical or biotechnology experience as healthcare sales / MSL / HCP / nurse. +… more
- Bristol Myers Squibb (Towson, MD)
- …+ Understanding, adapting, and effectively using technology in various aspects of healthcare business and interacting with HCPs. + Utilizing various digital ... scientific degree and/or preferred 5+ years of pharmaceutical or biotechnology experience as healthcare sales / MSL / HCP / nurse. + Ability to communicate… more
- Amazon (Annapolis Junction, MD)
- …provide escalation management, anticipate and make tradeoffs, and balance the business needs versus technical constraints. An ability to take large, complex ... learn the nuances of the security needs for a business unit, create a mechanism to measure the security...the face of uncertainty. Create repeatable processes for tracking risk , BU information, on-going engagement, and reporting. A day… more