- Humana (Hartford, CT)
- …+ Experience in healthcare operations, preferably with exposure to MRA or risk adjustment + Strong understanding of financial concepts (budgeting, ROI, ... us put health first** This role will support ongoing performance evaluation and enhancement for STP initiatives, while also...cost management ) + Proficient Excel skills; familiarity with business intelligence… more
- Datavant (Hartford, CT)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and ... execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
- Datavant (Hartford, CT)
- …planning and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to be operating proactively ... vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping...analytics + Experience using Jira for workflow and project management + Experience using both Microsoft and Google office… more
- Datavant (Hartford, CT)
- …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... to escalate and create solutions. + Own client operations project management processes, tools, reference materials, and cross‐functional usage. + Identify, define,… more
- Datavant (Hartford, CT)
- …for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... lives we impact. **You will:** + Supervise day-to-day team performance , conduct 1:1's and performance assessments. +...findings on a daily basis, including education on time management and best coding practices. + Provide coaching and… more
- Hartford HealthCare (Hartford, CT)
- …organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices ... across the system. *JOB SUMMARY:* The Risk Adjustment Coder Educator develops and implements...training 6. Provides individualized education to physicians and tracks performance over time 7. Creates "train the trainer guides"… more
- CenterWell (Hartford, CT)
- …(including Annual Proof of Documentation (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
- Datavant (Hartford, CT)
- …+ Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding ... The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for… more
- Datavant (Hartford, CT)
- …coding teams deliver on them through collaboration with those responsible for coder performance management . + Drive quality assurance and performance ... Apixio's products, how to effectively use Apixio's coding and management tools, and ensuring alignment on coding quality. +...clients understand the shifts and trends happening in the risk adjustment coding space. **What you will… more
- Datavant (Hartford, CT)
- …team coordinates efforts between internal resources and customers in support of custom risk adjustment projects and reports on project status to all ... technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding, physician workflow, and/or electronic health… more
- Molina Healthcare (Hartford, CT)
- … Management , Enrollment, Contact Center Operations, IT, Provider Configuration Management , Program Integrity, Risk Adjustment , Provider Resolution ... Health Plan operations. * Works with staff and senior management to develop and implement improvements and oversight for...risk related to enrollment processes and call center performance . * Directs analytical activities to identify trends and… more
- L. L. Bean, Inc. (Enfield, CT)
- …feedback, and coaching. If performance concerns exist, hands off to store management for performance management process + Contributes to Peak planning ... foster growth and development of the team + Recommends adjustment to staffing levels/schedules to meet work requirements. +...foster growth and development of the team. + Expense management ownership ensuring proper use of resources and adherence… more
- Travelers Insurance Company (Hartford, CT)
- …compensation and benefits program, employees are also eligible for performance -based cash incentive awards. **Salary Range** $129,200.00 - $213,200.00 **Target ... service on assigned claims, while engaging in indemnity & expense management . Promptly manage claims by completing essential functions including contacts,… more
- Humana (Hartford, CT)
- …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more
- Sedgwick (Springfield, MA)
- …regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National Account. **ESSENTIAL ... Strong customer service skills + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently or in a team… more
- Sedgwick (Springfield, MA)
- …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 ... Strong customer service skills + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently or in a team… more
- Evolent (Hartford, CT)
- …decision support systems is preferred + **Background in value-based care** models, risk adjustment , and quality measurement programs is preferred + **Experience ... and health plans + Design systems that support population health management and care coordination across multiple specialties + Implement real-time data… more
- CVS Health (Hartford, CT)
- …+ Managed Healthcare experience or knowledge of health insurance concepts, preferably Risk adjustment **What You'll Bring:** + A platform mindset focused ... control and automated testing. + Optimize compute costs, cluster configs, and query performance across the platform. + Configure and manage Unity Catalog for access… more
- Humana (Hartford, CT)
- …Electronic Medical Records, and/or Electronic Notifications. + Familiarity with CMS Risk Adjustment and Quality Measure Reporting. + Experience in ... work for development team members based on Humana's LPM (Lean Portfolio Management ) strategy with a top-down value approach. + Manage technical relationships with… more
- CVS Health (Hartford, CT)
- …plus. + Managed Healthcare experience or knowledge of health insurance concepts, preferably Risk adjustment . **What You'll Bring:** + A deep appreciation for ... Collaborate with data engineers to ensure dataset integrity, availability, and performance . + Create feedback loops that help engineering prioritize high-impact… more