- 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)
- …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)
- …multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment , care management, and provider enablement. + Identify ... 8+ years of product management experience in healthcare, including ownership of clinical, risk adjustment , or provider -facing solutions. + Proven leadership… 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
- 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
- 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 ... terminology and anatomy for all body systems.-Understand the audit process for risk adjustment models. + Identify and communicate documentation deficiencies to… 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
- Actalent (Brooklyn Park, MN)
- …Use quality engineering concepts such as design control, process control, risk management, supplier quality , root cause analysis, statistical analysis, and ... in complaint investigation and ensure investigations are thoroughly completed. + Provide direction to project teams on all Quality Policies/Procedures,… 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
- Actalent (Minneapolis, MN)
- Quality Control Technician Job Description The role of this Technician involves independently setting up, sanitizing, and running equipment for trials, with a strong ... set up, sanitize, and operate equipment for trials. + Provide support with a focus on the Cereal platform....and pumps. + Understand food safety requirements and perform risk assessments. + Assist the Product Development team in… more
- CVS Health (St. Paul, MN)
- …including risk adjustment methodologies (eg, HCC coding), quality measurement frameworks, and payer- provider collaboration. + Strong analytical skills, ... + Develop and maintain executive dashboards and reports that provide visibility into key performance metrics and trends at...ensure that reporting highlights areas of improvement at a provider level to improve quality scores **Executive… 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
- RELX INC (St. Paul, MN)
- … and improve operations. Headquartered in metro-Atlanta, Georgia it operates within the Risk market segment of RELX, a global provider of information-based ... to work for a mission driven global organization? LexisNexis(R) Risk Solutions provides customers with innovative technologies, information-based analytics,… more
- CVS Health (St. Paul, MN)
- …, and ** provider performance** + Familiarity with **claims data** , ** risk adjustment ** , or **value-based care models** + **Advanced Analytics:** + ... key metrics. + Support predictive modeling and statistical analysis to assess provider efficiency, member outcomes, and the impact of medical management programs. +… more
- CenterWell (St. Paul, MN)
- …in healthcare **Preferred Qualifications** + Bachelor's Degree + Experience with Medicare Risk Adjustment coding **Additional Information** + Remote Role + ... + Extract diagnostic and procedural information from clinical documentation. + Provide feedback and education to providers to improve documentation quality… 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
- Humana (St. Paul, MN)
- …large production-oriented teams + Experience in claims processing, encounters submissions, or Risk Adjustment + Experience with the IT budgeting and ... risks, and opportunities. + Continuously identifies and implements levers for risk mitigation, improved control environment, and cost optimization. + Build a… more