- Elevance Health (Indianapolis, IN)
- …presentation, and problem-solving, critical thinking skills strongly preferred. + Healthcare business knowledge related to Risk Adjustment Payment ... to the development and implementation of strategic initiatives aimed at improving risk adjustment outcomes. + Monitor the effectiveness of implemented solutions… more
- Datavant (Indianapolis, IN)
- … adjustment charts + Understanding of Medicare , Commercial and Medicaid risk adjustment business logic and coding + Knowledge and understanding of ... Ciox core values to all members of Ciox team + Expertise and understanding of risk adjustment business logic + Ability to analyze data to determine the root… more
- Elevance Health (Indianapolis, IN)
- …Knowledge of SAS and SQL. + Ability to manage multiple projects simultaneously. + Medicare risk adjustment experience highly preferred. Please be advised ... ** Business Change Manager** **Location:** Grand Prairie, TX; Indianapolis,...and resources + Leading various projects that support the Medicare Risk & Recovery Revenue Management -… more
- CVS Health (Indianapolis, IN)
- …Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will support data analysis, ... business needs. You will be responsible for maintaining risk score model integrity across multiple states and communicate...Knowledge of health insurance concepts - Experience working in risk adjustment - Experience working at a… more
- Humana (Indianapolis, IN)
- …**Preferred Qualifications** + Experience in Medicare Advantage - risk adjustment or Stars + Degree in business , finance, analytics, or related field; ... Finance team supports Humana's Healthcare Quality Reporting and Improvement business area, part of the Medicare and...Medicaid regulations and payment models, monitors and reports on risk adjustment data submissions, and supports HQRI… more
- CenterWell (Indianapolis, IN)
- …+ Ability to travel up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions. + Proven track record of ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
- Humana (Indianapolis, IN)
- …+ Demonstrated knowledge of Medicare Advantage program + Demonstrated knowledge of risk adjustment and the Stars quality program + Experience in managed care ... Humana and its management by: + Providing legal advice and support for Humana's Medicare Advantage lines of business ; + Advising on Medicare Advantage… more
- CenterWell (Indianapolis, IN)
- …at increasing clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct ... The Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy...trends and develops internal initiatives to meet the ever-evolving business needs. Stays on the cutting age of technology… more
- Deloitte (Indianapolis, IN)
- …+ Experience with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + Experience with risk adjustment mechanisms + Experience with health care reform and working ... Are you interested in helping clients drive alignment with their business , improve organizational and human resource performance and establish a culture… more
- Humana (Indianapolis, IN)
- …community and help us put health first** The Medical Records Retrieval Representative ( Risk Adjustment Representative 2) travels to provider offices within the ... or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking… more