- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** The AVP , Risk Adjustment Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of ... organization's overall risk adjustment strategy. Knowledge/Skills/Abilities + Responsible for encounters accuracy & completeness (ie, Encounter Production, Audit, Production… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** **Job Summary** The AVP , Clinical Data Acquisition is a key Risk Adjustment (QI) leader within the organization enterprise wide. ... software programs. * Must have a deep understanding of the Claims, Encounters , Pharmacy, Enrollment, Supplemental data etc. processes to assure data validation,… more
- Humana (Madison, WI)
- …caring community and help us put health first** The Associate Vice President ( AVP ) of Medicare and Medicaid Encounter Submissions is responsible for the integrity, ... Agencies for all Medicare, D-SNP, and Medicaid contracts. The AVP is accountable for working collaboratively across the enterprise...of ~220 associates focused on the successful submission of encounters data to CMS and Medicaid State Agencies. The… more