- Molina Healthcare (Jackson, MS)
- **Job Description** **Job Summary** The AVP , Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and ... of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality subject... subject matter expert for the health plan. The AVP leads a plan with a large membership base,… more
- Travelers Insurance Company (Jackson, MS)
- …complex claims, in multiple jurisdictions, in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned claims, while ... file exposure is greater than $2 million. + Provide quality customer service and ensure file quality ...activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators… more