- Atrium Health (Charlotte, NC)
- …This leaders will be a key subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on priorities ... Atrium Health is seeking a Registered Nurse (RN) Manager , Clinic for a nursing job in Charlotte, North Carolina.Job Description & RequirementsSpecialty:… more
- CVS Health (Hartford, CT)
- …and some workdays from home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, ... from home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, Medicare, MMP and… more
- Healthfirst (NY)
- …+ Must have a bachelors degree from an accredited institution. + Experience with Risk Adjustment Methodologies (CMS-HCC, HHS-HCC, CDPS, 3M CRG) or Value based ... management and meeting targeted time lines. Set and continually manage program expectations with team members and other stakeholders. Effectively communicate … more
- CVS Health (Hartford, CT)
- …We have an outstanding opportunity for an enthusiastic team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. ... Reporting to the Lead Director of Medicaid Risk Adjustment National Programs, this individual will...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Henry Ford Health System (Troy, MI)
- The Manager , Risk Adjustment &...degree of autonomy focusing on improving Mid-Revenue Cycle processes, Risk Adjustment and HCC Coding program ... Under minimal supervision from the Director, Risk Adjustment and Value Based Payment, the Manager ... Adjustment and Value Based Payment, the Manager is responsible for complex program management,… more
- Point32Health (SC)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/ Manager , performs accurate and timely ... a timely manner. Researches and resolves coding questions and risk adjustment regulatory issues. Coding Program...of action. Maintains productivity levels as defined by the Manager / Supervisor for a Coding Specialist II by… more
- CVS Health (Hartford, CT)
- …opportunity for a Senior Informatics Manager to join our dynamic Medicaid Risk Adjustment Analytics team! In this role you will provide complex analytics ... standards and State specific methodologies + Build reports and dashboards to track risk adjustment programs, and evaluate the effectiveness and quality of those… more
- Point32Health (SC)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/ Manager , performs accurate and timely ... Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist I reviews provider...Maintains productivity and accuracy levels as defined by the Manager / Supervisor for a Coding Specialist I by… more
- Point32Health (Canton, MA)
- …Consulting & Operations, this individual will support the operations and analysis of all risk adjustment programs and serve as the primary point of contact to ... will also work closely with internal departments and external vendors to ensure that risk adjustment programs are implemented and operated at the highest levels… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... and to support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III will provide a key leadership role in the … more
- Universal Health Services (Reno, NV)
- …and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Risk Adjustment Submissions Manager is a core member of ... to manage submissions and errors, applicable regulatory edits and business rules. The Risk Adjustment Submissions Manager maintains the throughput of… more
- CVS Health (Tallahassee, FL)
- …standards are upheld. Preferred Qualifications + A minimum of 5 years expertise in Risk Adjustment payment models for Medicare Advantage, ACA and Medicaid. + ... personal, convenient and affordable. Position SummaryThe Purpose of the Manager , Business Consultation job is to monitor and manage...Expertise in Risk Adjustment timelines and requirements + Prefer… more
- HSBC (New York, NY)
- …all relevant risk areas eg credit risk , counterparty credit risk , securitization, and Credit Valuation Adjustment ('CVA'). GRPA currently maintains a ... establishment of interpretations and governance processes to mitigate regulatory risk . GRPA also monitors new rule developments and other...City area may be considered. As our Regulatory Policy Manager - Credit Valuation Adjustment you will:… more
- Bloomberg (New York, NY)
- Senior Risk Manager - Engineering COO Office...be responsible for establishing a first line of defense risk management program by establishing a ... bureaucracy as we implement change across the department. We are looking for a Senior Risk Manager to join our team to be responsible for identifying, owning and… more
- Bloomberg (New York, NY)
- Risk Manager - Core Product - Chief ...the growing risk function and help evolve the risk management program at Bloomberg + Partner with ... training stakeholders on the risk management framework and industry practices + Drive program and process level risk assessments, monitor risk data and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …(Underwriting and Loss Prevention) by the absence of responsibility for the comprehensive risk program . Differs from the State Risk Administrator (Claims) ... Property Claims Manager (State Risk Adjuster 6) Print...Claims & Disaster and Recovery Management Unit is a program manager position within ORM, and provides… more
- Bloomberg (New York, NY)
- Product Manager - Data Catalog - Chief Risk Office **New York, NY** Posted May 22, 2024 - Requisition No. 125531 The energy of a newsroom, the pace of a trading ... to make it happen. **What's the role?** Bloomberg's Chief Risk Office (CRO) plays a critical role in supporting...about playing their part in helping build a best-in-class program + DCAM certification + Agile and/or Project Management… more
- Trinity Health (Albany, NY)
- …reporting system. The Risk Manager is responsible for administering the risk management program on a day-to-day basis, managing and analyzing risk ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **TITLE** Risk Manager **DEPARTMENT:** Clinical Quality & Safety **REPORTS TO:** Regional… more
- Inspire Brands (Atlanta, GA)
- …Company + Implement and maintain a best in class and modernized technology audit program + Contribute to the technology risk perspective in the development of ... embarked on an exciting journey at Inspire Brands to reimagine our Enterprise Risk and Internal Audit functions to align with Inspire's strategic objectives. The … more
- Lockheed Martin (Bethesda, MD)
- …and Omissions Liability, Cyber Liability, some Workers' Compensation etc\. and providing general risk management support as Risk Manager to the Missiles ... The position reports to the Director, Property & Casualty Risk in Bethesda, MD\. This leadership role is responsible...to the business units\. ‒ Manage the reporting and adjustment of claims\. ‒ Ensure compliance with all policy… more
