- Highmark Health (Dover, DE)
- …may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver... strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives… more
- Datavant (Dover, DE)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the ... in the key underlying healthcare data sources that support risk adjustment measurement and analysis. + **Analytical & Strategic :** Able to connect… more
- RELX INC (Philadelphia, PA)
- Are you ready to leverage your expertise in strategic sourcing and category management to drive significant value in HR and Professional Services? Want to play a ... analytics around organizational spend and usage, facilitating and supporting the strategic sourcing process for broad Professional Services & HR engagements,… more
- RELX INC (Philadelphia, PA)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Healthcare vertical, our solutions focus on ... decisions and solve complex challenges. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/healthcare About the Team: Are… more
- CenterWell (Dover, DE)
- …first** The Market Partnership and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy and targeted initiatives aimed at ... clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement… more
- RELX INC (Chesterbrook, PA)
- …Role: The VP of Product Strategy & Innovation is responsible for harnessing the strategic vision and roadmap for the LexisNexis Risk Healthcare suite of ... About the Business: LexisNexis Risk Solutions is the essential partner in the...Team and reporting directly to the President & General Manager , this leader will focus on Vision, Execution and… more
- CenterWell (Dover, DE)
- …in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex ... to strengthen a patient-centered culture that is clinically led + Strategic problem-solver with examples of driving change initiatives with measurable impact… more
- Travelers Insurance Company (Dover, DE)
- …for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants, the Travelers Lab, Claim Legal, and fire or ... + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle… more