- 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
- 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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …on key findings. * Direct research, analyses, and interpretation of risk adjustment and quality data and provide technical assistance to other ... Job Duties * Develop, lead, and provide strategic direction for a high performing team...for maintaining, executing, and evaluating initiative impacts using the risk adjustment and quality analytics… 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
- Actalent (Maple Grove, MN)
- …concepts including, but not limited to, design control, process control, risk management, supplier quality , root cause analysis, statistical analysis, ... teams to develop and assist in maintenance of Product Risk Management Files ( Risk Management Plan, ...in complaint investigation. Ensure investigations are thoroughly documented. - Provide direction to project teams on all Quality… 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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …identify risks and opportunities for improvement. * Collaborate with Pharmacy, Risk Adjustment , Network Management, Care Management, Member Experience, Medical ... requirements into actionable strategies to operationalize across departments. * Provide executive-level reporting and communication on quality performance to… more
- Actalent (Hamel, MN)
- …and safe and efficient equipment operation. Responsibilities + Develop and manage supplier quality plans through appropriate risk analysis. + Support ISO 9000 ... executed at assigned suppliers. + Evaluate the need for quality data/reports and provide required quality...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due… more
- Humana (St. Paul, MN)
- … provider . The Senior Coding Educator is responsible for creating and executing the risk adjustment strategy for each provider groups. + Analyzes data and ... Risk Coder (CRC) + Experience interacting with healthcare providers + Medicare Risk Adjustment knowledge + Analyzing data to build unique education strategies… 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
- Humana (St. Paul, MN)
- …Qualifications** + Bachelors Degree + Knowledge and/or experience within the Stars Organization, Risk Adjustment and/or Provider + PMP or CAPM Certification ... include but not limited to Intake, Charter, Governance Structure, Project Plan, Risk /Issues Tracking, etc. + Analyze project portfolio to ensure project updates,… more
- Humana (St. Paul, MN)
- …+ Lead financial analytics projects, with a focus on outcomes of Medicare risk adjustment operations and initiatives. + Work independently to analyze historical ... insights for non-technical stakeholders. **Preferred Qualifications** + Experience with Medicare Risk Adjustment programs and/or CMS datasets. + Familiarity with… 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
- Fairview Health Services (Minneapolis, MN)
- …to patients coping with cancer-related stress, anxiety, depression, grief and adjustment issues + Complete diagnostic assessments and provide recommendations ... **Position Description:** In 2015, the Agency for Healthcare Research and Quality named MHealth Fairview Clinics as one of eight "exemplar" integrated… 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
- Travelers Insurance Company (St. Paul, MN)
- …and/or complex claims, in multiple jurisdictions, in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned ... and file exposure is greater than $2 million. + Provide quality customer service and ensure file...activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators… more
- Actalent (New Brighton, MN)
- …improvement efforts. + Ensure product designs adhere to company design and quality standards and customer specifications. + Provide ongoing feedback to ... specified loading conditions, selecting materials, and ensuring designs meet quality standards and customer specifications. Responsibilities + Design mechanical… more