- 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)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid ... Will Have We are looking for a Director of Risk Adjustment and Quality Analytics...and maintenance of dashboards to monitor risk adjustment initiatives and outcomes. * Collaborates with provider… 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
- Humana (St. Paul, MN)
- …health first** The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging ... The Lead will focus on Project Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk Management Lead works on… 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
- 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
- Humana (St. Paul, MN)
- …reporting on progress, challenges, and achievements to management. + Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs ... our department's continuous process improvement, operational excellence objectives, and quality management. **Primary Responsibilities:** + Provide expertise,… 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
- 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
- Amazon (Maple Grove, MN)
- …Cluster Manager (SLP Cluster Manager) leads the effort to efficiently and effectively provide risk mitigation as well as security oversight and asset (People, ... concepts Preferred Qualifications - 3+ years of operational experience in risk management, audit, data analytics, inventory control, quality assurance,… 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
- Actalent (Plymouth, MN)
- …on existing project issues, drive updates to system documentation, collaborate with quality on CAPA/NCR issues, initiate new product development from a system ... FDA, ISO, and IEC design control procedures, regulations, and standards. + Apply risk scenarios and technical risk mitigation tools to ensure optimal outcomes.… more
- Actalent (Minneapolis, MN)
- …Perform equipment, process, and product performance qualifications and validations, including risk assessments. + Conduct statistical analysis and report results in ... conforming to FDA standards. + Conduct root cause analyses and provide resolutions for manufacturing issues. + Manage projects, including capital expenditures,… 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