- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... -performance consultation team, this role * Identifies opportunities for provider groups to improve performance on quality ...-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment… 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...and maintenance of dashboards to monitor risk adjustment initiatives and outcomes. * Collaborates with provider… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …are ready to make a difference, join us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play a critical ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career… more
- Datavant (St. Paul, MN)
- …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 ... execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data...data pipelines, providing the ability to proactively intervene and provide traceability. Maintain databases / data stores that support… 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)
- …Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and ... and time off requests. + Receive, merge and track quality , productivity, and feedback for all team members. +...Provide coaching and feedback on achieving production and quality standards of the role. + Report trends for… more
- Datavant (St. Paul, MN)
- …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations ... role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides… more
- Humana (St. Paul, MN)
- …Interoperability, Electronic Medical Records, and/or Electronic Notifications. + Familiarity with CMS Risk Adjustment and Quality Measure Reporting. + ... and operational experience. + Strong performance orientation for delivering high quality technology products. + SAFe PO/PM certification. + Data Governance and/or… more
- Bluestone Physician Services (Stillwater, MN)
- …and other clinical staff to educate them on the importance of accurate documentation for risk adjustment purposes. + Provide ongoing training and support to ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
- Actalent (Brooklyn Park, MN)
- …concepts including, but not limited to, design control, process control, risk management, supplier quality , root cause analysis, statistical analysis, ... teams to develop and assist in maintenance of Product Risk Management Files ( Risk Management Plan, ...in complaint investigation. Ensure investigations are thoroughly documented. - Provide direction to project teams on all Quality… more
- Amazon (Shakopee, MN)
- … quality data, vendor defect rates and build a standard work around parts quality management - Establish a forward looking risk -based interface to assist site ... on our journey! About the Role: As the Regional Quality & Benchmarking Specialist, you will build and implement...of paid parental leave. But wait, there's more: We provide lightweight fire-resistant daily wear and composite toe safety… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …identify risks and opportunities for improvement. * Collaborate with Pharmacy, Risk Adjustment , Network Management, Care Management, Member Experience, Medical ... requirements into actionable strategies to operationalize across departments. * Provide executive-level reporting and communication on quality performance to… more
- Actalent (Hamel, MN)
- …and safe and efficient equipment operation. Responsibilities + Develop and manage supplier quality plans through appropriate risk analysis. + Support ISO 9000 ... executed at assigned suppliers. + Evaluate the need for quality data/reports and provide required quality...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due… more
- Amentum (St. Paul, MN)
- …for the purpose of verifying and assessing the home situation and the offender's adjustment while under supervision. + Provide information on the analysis and ... enhancing human rights in developing countries. Amentum is the contract service provider to the DOJ ICITAP and Overseas Prosecutorial Development, Assistance and… more
- Humana (St. Paul, MN)
- …+ Lead financial analytics projects, with a focus on outcomes of Medicare risk adjustment operations and initiatives. + Work independently to analyze historical ... insights for non-technical stakeholders. **Preferred Qualifications** + Experience with Medicare Risk Adjustment programs and/or CMS datasets. + Familiarity with… more
- Amazon (Maple Grove, MN)
- …Cluster Manager (SLP Cluster Manager) leads the effort to efficiently and effectively provide risk mitigation as well as security oversight and asset (People, ... concepts Preferred Qualifications - 3+ years of operational experience in risk management, audit, data analytics, inventory control, quality assurance,… more
- Fairview Health Services (Minneapolis, MN)
- …to patients coping with cancer-related stress, anxiety, depression, grief and adjustment issues + Complete diagnostic assessments and provide recommendations ... **Position Description:** In 2015, the Agency for Healthcare Research and Quality named MHealth Fairview Clinics as one of eight "exemplar" integrated… more
- Amazon (Eagan, MN)
- …ensuring that contracted resources meet schedule, budgetary, safety and driving quality targets; analyzing and deep diving systems performance, inventing and ... throughput and safety qualifications. Simplify, optimize, remove bottlenecks and provide feedback while resolving difficult system problems or technical… more
- Travelers Insurance Company (St. Paul, MN)
- …and/or complex claims, in multiple jurisdictions, in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned ... and file exposure is greater than $2 million. + Provide quality customer service and ensure file...activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators… more
- Actalent (Minneapolis, MN)
- …and warranty periods. This role involves managing project safety, quality , schedule, cost control, contracts, subcontractors, suppliers, proposals, estimates, ... ensure successful execution of single or multiple projects simultaneously. + Provide direction and participate in project planning, scheduling, estimating, cost… more