- 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… 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)
- …Coding 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
- Humana (St. Paul, MN)
- …with corporate and market teams, including IT, Quality Operations and Compliance, and Risk Adjustment , as well as vended partners. The Senior Data Quality ... community and help us put health first** Humana's Health Quality and Stars organization is seeking a Senior Data...audit requirements to partner on data/process updates; and to provide insights, impacts and guidance to the enterprise +… 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
- Evolent (St. Paul, MN)
- …clinical decision support systems is preferred + **Background in value-based care** models, risk adjustment , and quality measurement programs is preferred + ... specifications and system architecture that support clinical evidence alignment and quality improvement initiatives + Lead API design and development for seamless… more
- Actalent (Minneapolis, 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
- Highmark Health (St. Paul, MN)
- …and Enterprise Quality , Safety, and Values (Health Outcomes Measures). Provide actionable opportunities in provider transformation aimed at high- quality ... in the organization's value-based reimbursement programs. Strong knowledge of risk adjustment methodologies and reporting/regulatory requirements and CMS… more
- Actalent (Golden Valley, MN)
- Job Title: Software Quality Engineer Job Description The Software Quality Engineer will coach staff and provide detailed quality reviews of documents ... a clear summary of conclusions and outcomes. Responsibilities + Coach staff on quality standards and document review processes. + Conduct detailed quality … more
- Deloitte (Minneapolis, MN)
- …Health Plan Actuarial liabilities for Premium Deficiency Reserves, Medicare Risk Adjustment , MLR (Minimum Loss Ratio) Calculations, Provider Liabilities / ... Deloitte Consulting Health Actuary Advisor in Deloitte Human Capital, you will provide technical and analytical support in a consulting environment. The job… 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
- 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
- Fresenius Medical Center (Chaska, MN)
- …ease patients into dialysis. The first weeks of dialysis involve a great deal of adjustment , along with increased risk of hospitalization and mortality. As a TCU ... nurse, you will provide patients with a solid foundation to start their...this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and… more
- Actalent (Minneapolis, MN)
- …direction to direct reports, ensuring that all projects meet their Cost, Quality , and Timing metrics. Additionally, the manager will contribute to business growth ... + Oversee engineers, designers, drafters, and project coordinators. + Provide leadership and training in Transmission Line Design and...and training as needed. + Establish, monitor, and maintain quality control standards for Cost, Quality , and… more
- Actalent (Minneapolis, MN)
- …strategy, architecture, and planning for new and existing products. + Provide technical leadership across cross-functional teams in new product development and ... hardware/firmware integration. + Conduct schematic capture, PCB layout, simulation, and risk analysis (eg, DFMEA). + Support verification, validation, and root cause… more