- Humana (Springfield, IL)
- …to drive efficient, effective, and compliant risk adjustment processes. This Risk Adjustment Risk Management lead position will be responsible ... Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and...Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk… more
- Datavant (Springfield, IL)
- …educational and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a ... deep understanding of the Risk Adjustment business domain and is skilled...navigating ambiguity + Excellent communication skills + Well-developed time management skills and demonstrable experience of prioritizing work to… more
- Wolters Kluwer (Springfield, IL)
- …| Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** **Coder Workbench Solution:** ** Risk Adjustment Software | Health Language ... or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space,...+ Provide comprehensive and insightful sales reports to senior management . + Identify and leverage market opportunities for business… more
- Highmark Health (Springfield, IL)
- …with a range of strategic initiatives, specifically focusing on the evolution of Risk Adjustment Accuracy Management (RAAM) and Highmark's clinical data ... Extensive knowledge of Health Insurance and/or Provider operations, especially related to Risk Adjustment . + Experience in operational improvement and process… more
- Datavant (Springfield, IL)
- …for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... findings on a daily basis, including education on time management and best coding practices. + Provide coaching and...the role. + Report trends for education opportunities to management for review and/or action. + Motivate team members… more
- Datavant (Springfield, IL)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... skills, problem solve, ability to work in a remote environment, and time management skills. + Working knowledge of the business use of computer hardware and… more
- Datavant (Springfield, IL)
- …met. + Report trends for education opportunities in both quality and productivity to management for review and/or action. + Assists in coding to meet the monthly ... 95% or higher. + Any other tasks required by management . **What you will bring to the table:** +...ability to work in a remote environment and time management skills + Working knowledge of the business use… more
- Datavant (Springfield, IL)
- …strategies. The ideal candidate will have a deep understanding of value-based care, risk adjustment , and the healthcare provider ecosystem ( risk -bearing ... prospects. + Serve as a trusted advisor, demonstrating a strong understanding of risk adjustment , HCC coding, and value-based care operations. + Liaison account… more
- Centene Corporation (Springfield, IL)
- …Manager will perform various analytic and strategic tasks in order to support the Risk Adjustment team within the IL Health Plan Division. The Portfolio Manager ... leadership. The role will be responsible for the collection, aggregation, and analysis of risk adjustment data (eg, department / business area data for the… more
- RELX INC (Springfield, IL)
- …challenges in Anti-Money Laundering, Identity Authentication & Verification, Fraud and Credit Risk Mitigation, and Customer Data Management . Learn more about us ... and build trusted partnerships as National Account Managers with LexisNexis Risk Solutions? Do you excel at developing enterprise-level relationships, crafting… more
- RELX INC (Springfield, IL)
- …to help organizations prevent fraud and drive business success with LexisNexis Risk Solutions? Are you passionate about partnering with sales teams and clients ... while building trusted relationships and driving revenue growth? About the Business LexisNexis Risk Solutions is a trusted partner in risk assessment and… more
- RELX INC (Springfield, IL)
- …and Counter Terrorist Financing, identity authentication and verification, fraud and credit risk mitigation, and customer data management . About the Team ... About the Business LexisNexis Risk Solutions is a global leader in ...solutions or services Qualifications + Proven experience in account management , with a focus on renewals, retention, and expanding… more
- RELX INC (Springfield, IL)
- …Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn ... be the job for you! About the Business: LexisNexis Risk Solutions is the essential partner in the assessment...MQ, Kafka, and DAPR for secure, reliable messaging, state management , and troubleshoot distributed transactions and event processing. +… more
- RELX INC (Springfield, IL)
- …Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn ... that make a real impact for customers and colleagues? About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within… more
- Amentum (Springfield, IL)
- …and leadership training - Building responsive and effective prison management systems to repatriate, rehabilitate, reintegrate, and prosecute foreign terrorist ... verifying and assessing the home situation and the offender's adjustment while under supervision. + Provide information on the...to: a) identify additional information needs; b) assess offender risk ; c) create and update a case plan; d)… more
- Sedgwick (Springfield, IL)
- …regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National Account. **ESSENTIAL ... + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive… more
- Sedgwick (Springfield, IL)
- …unassisted up to $10M, including having the ability to address most complex adjustment issues pertaining to damages and coverage; to assist on even larger losses ... + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive… more
- Travelers Insurance Company (Springfield, IL)
- …service on assigned claims, while engaging in indemnity & expense management . Promptly manage claims by completing essential functions including contacts, ... investigation, damages development, evaluation, reserving, litigation management , negotiating and resolution. Provides consulting and training and serves as an… more
- Humana (Springfield, IL)
- …+ Partnership & Engagement + Serve as a key liaison with partners in Risk Adjustment and other enterprise teams to align priorities, communicate progress, and ... feedback loop, executive presentation. Critical skills include independent project management ; data and analytics expertise with PowerBI, SQL, cloud;… more