- Humana (Pierre, SD)
- …Scrum Agile, dedicated Partnership Leaders, and collective Product Ownership to deliver integrated risk adjustment (RA) and quality (Stars) solutions that ... caring community and help us put health first** The Senior Software Engineer solves complex business problems and issues...experience with and knowledge around the CMS Stars and/or Risk Adjustment programs with a focus in… more
- CenterWell (Pierre, SD)
- …Must possess an active RN license + A minimum five years' experience in risk adjustment coding, auditing, and/or education, working with providers + CPC ... of two years' leadership experience + Knowledge of EMR + In-depth knowledge of risk adjustment key performance indicators + Comprehensive knowledge of MS Word,… more
- Conviva (Pierre, SD)
- …collaboration with healthcare providers + Medical record review knowledge + Medicare Risk Adjustment knowledge + Extensive knowledge of coding guidelines (ie ... and large group education sessions. All education will be aimed at high quality documentation and adherence to PCO documentation standards. + Actively seeks feedback… more
- Sanford Health (Sioux Falls, SD)
- …regulatory and risk functions, including government programs operations and risk adjustment functions. Further, oversees member and employee experience ... for: Overall operational process improvement including continuous process improvement, quality assurance, operations training, product implementation, performance measurement, project… more
- Humana (Pierre, SD)
- …on supporting Humana's senior -focused primary care operations including: + Support risk adjustment activities and reviews, including ongoing support of the ... with applicable laws and regulations, and protection against external risk . **Use your skills to make an impact** **Required...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more