- Merck & Co. (Durham, NC)
- …and other groups as required.The Lab Senior Maintenance Technician will provide maintenance supporting vaccine process equipment operations. Takes appropriate action ... and delivered on schedule. Responsible for supporting departmental vision that will provide for continuous improvement in all aspects of the operation.Must be able… more
- The University of Vermont Health Network (Burlington, VT)
- …contribute to medical student and psychiatry resident education and training; provide consultation and limited direct service around behavior management ... bonus will be paid out as a $2,500 pay adjustment in the first paycheck following the completion of...6 months (1040 hours/prorated for part time) of satisfactory service in the department hired into. This requires a… more
- BlueCross BlueShield of North Carolina (NC)
- …role. Evaluates and monitors provider performance to achieve excellence in risk adjustment coding. Participates in regular provider meetings and/or ... Coordinates and leads Provider facing meetings to achieve excellence in risk adjustment coding. + Collaborates with Risk Data Analytics and Value Program… more
- The Cigna Group (Bloomfield, CT)
- ** Risk Adjustment Provider Educator**...obtained through a cable broadband or fiber optic internet service provider with speeds of at least ... operational market. The role will be accountable for assigned provider groups reaching risk adjustment ...act on any assigned audit educational opportunities timely and provide primary care or specialty care provider … more
- Centene Corporation (Jefferson City, MO)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Director of Risk Adjustment Programs is a key member of the Risk ... internal and external activities to achieve revenue appropriateness objectives. The Director of Risk Adjustment Programs is the subject matter expert (SME) that… more
- Somatus (Mclean, VA)
- …provider Network Management and the Quality Program to implement tactics for risk adjustment optimization, particularly for provider and member engagement ... Overview The Director, Medicare Risk Adjustment (MRA) will lead the...coding improvement opportunities, provider coding improvement opportunities, provider coding accuracy, risk score trending and… more
- Baystate Health (Springfield, MA)
- The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health by ... record before provider visits and uses ICD-10 CM coding guidelines and risk adjustment model regulations to identify missed opportunities to address chronic… more
- Trinity Health (Fort Lauderdale, FL)
- …or perform data mining and data-driven analysis to forecast/evaluate the performance of the risk adjustment program and refine annual risk adjustment ... program strategies to achieve optimal performance. Incorporate data-driven analysis into the risk adjustment processes. + Develop and monitor metrics of program… more
- Martin's Point Health Care (Portland, ME)
- …a "Great Place to Work" since 2015. Position Summary The Senior Director of Risk Adjustment Operations in our Health Plan is responsible the overall development, ... refinement, maintenance, monitoring and oversight of Medicare Risk Adjustment initiatives and operations. The Senior Director is also responsible for all aspects… 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 ... the establishment of interpretations and governance processes to mitigate regulatory risk . GRPA also monitors new rule developments and other ongoing changes… more
- Firefly Health (Watertown, MA)
- …quality care. Areas will include, but not limited to, capturing accurate risk adjustment , population segmentation service design, care management/high ... modifiable Total Cost of Care reduction areas of opportunity. + Provide medical leadership, guiding the development and implementation of evidence-based clinical… more
- The Cigna Group (Chattanooga, TN)
- …populations in an operational market. The role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This ... assigned market. Lead Analyst will be primary contact for provider groups on Risk Adjustment ...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- The Cigna Group (Houston, TX)
- …assigned populations in an operational market. The role will be accountable for assigned provider groups reaching risk adjustment and stars related annual ... care. The role will work under the direction of Risk Adjustment & Stars Provider ...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- Molina Healthcare (Las Vegas, NV)
- **JOB DESCRIPTION** **Job Summary** Responsible for continuous quality improvements and risk adjustment accuracy for all government lines of business. Supports ... key providers. + Participates in state level quality and risk adjustment strategy meetings, develops a quality...lines of business, including but not limited to fee-for service , capitation and various forms of risk ,… more
- The Cigna Group (Baltimore, MD)
- …on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. + Schedules, prepares for and ... to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- Humana (Columbus, OH)
- …integral part of a cross-functional, collaborative organization which includes Provider Service Experience, Network Optimization, Clinical Services, Value-Based ... community and help us put health first** The Senior Provider Engagement Professional- Practice Transformation is responsible for driving...contracting, HEDIS and Risk Adjustment . Reporting to the Associate Director… more
- The Cigna Group (Atlanta, GA)
- …includes Market Provider Performance, Sales, Clinical Operations, Stars & Risk Adjustment , Finance , Cross-Segment Contracting, Provider Relations, ... and/or operational issues with providers. + Leading Stars & Risk Adjustment outcomes through local Provider...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- The Cigna Group (Seattle, WA)
- …on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. + Schedules, prepares for and ... to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- Bloomberg (New York, NY)
- …products and services. Our focus is to address risks and related issues by providing risk management as a service , focusing on providing and delivering value to ... Legal and Compliance, Finance, Operational Resilience and Internal Audit, to provide centralized risk frameworks, processes, tools, training and advisory… more
- HCA Healthcare (Campbell, CA)
- …. Minimum 1 year experience with HCC coding and risk adjustment Physician Services Group (https://careers.hcahealthcare.com/pages/physician-services) is skilled ... care like family! Jump-start your career as a(an) HCC Risk Management Specialist today with HCA Healthcare. **Benefits** HCA...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
