- Humana (Boston, MA)
- …+ Experience in healthcare operations, preferably with exposure to MRA or risk adjustment + Strong understanding of financial concepts (budgeting, ROI, ... us put health first** This role will support ongoing performance evaluation and enhancement for STP initiatives, while also...cost management ) + Proficient Excel skills; familiarity with business intelligence… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with CMS regulations. This leader is responsible for analysis, projections, and assessment of risk adjustment performance . Your Day to Day: + Responsible for ... Data and Analytics will oversee the reporting, analytics and management of risk adjustment , internally...direct leadership of the Risk Adjustment Performance and Strategic… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …in collaboration with other areas, develop and monitor key performance indicators on risk adjustment performance that will assess the progress of the ... healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report...plan. This position will track and monitor the key performance indicators of multi-year strategies and tactics designed to… more
- Commonwealth Care Alliance (Boston, MA)
- …Director of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and ... of data systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category (HCC) revenue programs. This… more
- Datavant (Boston, MA)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and ... execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
- Commonwealth Care Alliance (Boston, MA)
- 011260 CCA-Revenue Cycle Management Position Summary: The Risk Adjustment Business Analyst is responsible for understanding and interpreting complex ... methodology, and will play an essential role in driving Risk Adjustment (RA) Program performance ....claims management systems, EMR platforms, healthcare regulations, Risk Adjustment MA/HHS, project management ,… more
- Datavant (Boston, MA)
- …planning and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to be operating proactively ... vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping...analytics + Experience using Jira for workflow and project management + Experience using both Microsoft and Google office… more
- Fallon Health (Worcester, MA)
- …to improve reporting and product performance . The RAA will represent the Risk Adjustment & Analytics team, participating in corporate project workgroups and ... or follow us on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose** : The Risk Adjustment Analyst (RAA) will be a SME for the MassHealth risk… more
- Datavant (Boston, MA)
- …for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... lives we impact. You will: + Supervise day-to-day team performance , conduct 1:1's and performance assessments. +...findings on a daily basis, including education on time management and best coding practices. + Provide coaching and… more
- Datavant (Boston, MA)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... coding accuracy rate. + Any other task requested by management . **What you will bring to the table:** +...of Datavanters who are all responsible for stewarding a high- performance culture in which all Datavanters belong and thrive.… more
- Amazon (Boston, MA)
- …equivalent experience - 8+ year(s) of experience in IT security, compliance, or risk management - 8+ years experience in technology automation, implementation, ... leading the implementation process, ensuring adherence to best practices, optimizing performance , and managing risks throughout the project. The AWS Professional… more
- Point32Health (Canton, MA)
- …business partners to analyze operational workflows and identify solutions that will enhance risk adjustment performance . This individual will often serve as ... will be responsible for the implementation, execution and general ownership of risk adjustment programs, including chart reviews, in-home health assessments,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …enhance data strategies. + Collaborate with cross-functional teams, including clinical operations, performance measurement, and risk adjustment , to execute ... delivery of high-quality, trustable clinical data to support key initiatives around quality, risk adjustment , medicare stars, and interoperability. This is a key… more
- CenterWell (Boston, MA)
- …(including Annual Proof of Documentation (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
- Amazon (North Reading, MA)
- …documents, including PRFAQs, 6-pagers and OP business cases About the team The Performance Analytics and Field Insights (P&I) team at Amazon Robotics (AR) develops ... analytics products and services that provide deep insights into the performance of AR's network and its causal factors. Leveraging data-driven approaches,… more
- Amazon (North Reading, MA)
- …and communicate risks to stakeholders. The role emphasizes proactive problem-solving, risk management , and continuous improvement to enhance overall supply ... chain performance . Key job responsibilities - Oversee end-to-end supply chain...influencing stakeholders to resolve bottlenecks effectively. - Lead timely risk assessments and provide transparent updates to stakeholders, outlining… more
- Datavant (Boston, MA)
- …+ Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding ... The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for… more
- Tufts Medicine (Boston, MA)
- …of Department of Medicine strategies with network and payer priorities. 10. Supports risk adjustment , care model design, and other payer-facing initiatives. 11. ... Performance Metrics (eg, HEDIS, Stars, and clinical outcomes). b.) 25% - Risk Adjustment (accurate RAF coding, documentation, and patient complexity). c.) 65%… more
- Amazon (Westborough, MA)
- … management disciplines including scope, schedule, budget, quality, along with risk and critical path management experience - Experience managing programs ... fleet deployed across the network. The retrofits will aim to improve the performance , reliability and safety of the deployed robotic and automation systems. Working… more
- Actalent (Boston, MA)
- …requirements. + Maintain safety records, review site safety submittals, track EHS performance metrics, and generate detailed reports for management . + Promote ... for employees and site personnel. + Maintain safety records and track EHS performance metrics. + Generate detailed reports for management regarding safety … more