- Highmark Health (Hartford, CT)
- …Correlates Revenue/Expense to volumes and prepares reports to assist financial management in assessing financial performance. (20%) + Evaluates, updates, and ... have a financial impact to WPAHS. Makes recommendations to Decision Support Management for financial and performance improvement. (20%) + Performs all other duties… more
- The Cigna Group (Bloomfield, CT)
- …5 years' experience in coding, risk adjustment revenue/policy adherence and/or physician practice management + Experience in a clinical field or practice ... The Quality Review and Audit Lead Analyst will be instrumental in serving as a...will have experience and understanding of HHS risk adjustment rules & regulations, coding guidelines, provider practice negotiations, relationship… more
- Highmark Health (Hartford, CT)
- …investigations. Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and ... new areas. + Perform modeling of data sources and flows, work with data management staff to define an operational framework that will define, develop, and implement… more
- Cardinal Health (Hartford, CT)
- … team to onboard new practices including Assessment Call and giving direction to Clinical Analyst owning account * Once the Rheum team grows, manage the ... training and oversite of all new Clinical Analyst Team members (working with HR,...Specialty Network requirements of the Provider Solutions, Customer Success, management , and HR Handbook rules * Assist… more