- Humana (St. Paul, MN)
- …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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- … risk adjustment activities. * Collaborate with Clinical and Care Management teams to align risk adjustment initiatives with population health, ... and Blue Shield of Minnesota Position Title: Director of Risk Adjustment Location: Hybrid | Eagan, Minnesota...teams and driving data integrity, this role enhances care management , risk mitigation, and financial optimization. The… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …errors, and prevent fraud. * Collaborate with Provider Network, Clinical and Care Management teams to align risk adjustment initiatives with population ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid | ... Will Have We are looking for a Director of Risk Adjustment and Quality Analytics to lead...skill and career development, policy administration, coaching on performance management and behavior, employee relations, and cost control. Required… more
- Baylor Scott & White Health (St. Paul, MN)
- …and external sources to provide insight to decision-makers. This role supports program management activities around risk adjustment data management ... procedure documentation. + Oversee updates to department policies and procedures regarding risk adjustment data management . + Remain current on CMS Risk… more
- Datavant (St. Paul, MN)
- …and roadmap for the Data Integration pod within the Retrospective Risk Adjustment Coding Product Suite + **Client Data Management :** Oversee secure and ... to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and… more
- Datavant (St. Paul, MN)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
- Datavant (St. Paul, MN)
- …vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ... for education opportunities in both quality and productivity to management for review and/or action. + Assists in auditing...95% or higher. + Any other tasks required by management . What you will bring to the table: +… more
- Datavant (St. Paul, MN)
- …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 (St. Paul, MN)
- …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 (St. Paul, MN)
- …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides… more
- RELX INC (Minneapolis, MN)
- …Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn ... about LexisNexis Risk at the link below, https:// risk .lexisnexis.com About our Team: The Analytic Customer Management...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- Wolters Kluwer (St. Paul, MN)
- …| 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
- CVS Health (St. Paul, MN)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... Coder) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency including experience with… more
- Amazon (Maple Grove, MN)
- …concepts Preferred Qualifications - 3+ years of operational experience in risk management , audit, data analytics, inventory control, quality assurance, ... Manager) leads the effort to efficiently and effectively provide risk mitigation as well as security oversight and asset...ensure compliance. Basic Qualifications - 3+ years of people management experience - Bachelor's Degree or 5+ years relevant… more
- Actalent (Maple Grove, MN)
- …that plans are met through continuous evaluation of scope, schedule, budget, and risk management . This role requires estimating and assessing effort levels of ... by initiating project teams, evaluating scope, schedule, budget, and risk management . + Estimate and assess effort...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …cost saving opportunities. * Works closely with actuarial, finance, data & analytics, stars, risk adjustment , and other lever owners to gather necessary data for ... relative to established contracts. * Collaborate with actuarial, finance, Medicare and risk adjustment to ensure all inputs and assumptions leverage BlueCross… more
- Amentum (St. Paul, MN)
- …the successful development of correctional intelligence programs to assist in the management of violent extremist and high- risk offenders **REQUIRED SKILLS AND ... designed for the following purpose: Building Responsive and Effective Prison Management Systems to Repatriate, Rehabilitate, Reintegrate, and Prosecute FTFs and may… more
- RELX INC (St. Paul, MN)
- …to work for a mission driven global organization? LexisNexis(R) Risk Solutions provides customers with innovative technologies, information-based analytics, ... decision-making tools and data management services that help them solve problems, make better...them solve problems, make better decisions, stay compliant, reduce risk and improve operations. Headquartered in metro-Atlanta, Georgia it… more
- Actalent (Plymouth, MN)
- …budget, profitability, and vendor relationships. + Apply life cycle management principles within exploratory, new product development, or sustaining phases. ... IEC design control procedures, regulations, and standards. + Apply risk scenarios and technical risk mitigation tools...outside primary area of expertise. + Ability to convince management on courses of action with minimal assistance using… more