- Humana (Doylestown, PA)
- …our caring community and help us put health first** The Medical Records Retrieval Representative ( Risk Adjustment Representative 2) travels to provider ... Langhorne, New Hope, Newtown, Washington Crossing and Yardley, Allentown) Medical Records Retrieval Representative ( Risk Adjustment Representative 2) +… more
- Humana (Lansing, MI)
- …our caring community and help us put health first** The Medical Records Retrieval Representative ( Risk Adjustment Representative 2) travels to provider ... offices within central Michigan (in the Eaton, Ingham and Livingston Counties) and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. + Travels up to 100% in assigned territory and other areas as needed. Travel will… more
- BlueCross BlueShield of North Carolina (NC)
- …facing role. Evaluates and monitors provider performance to achieve excellence in risk adjustment coding. Participates in regular provider meetings and/or calls ... You'll Do** + Coordinates and leads Provider facing meetings to achieve excellence in risk adjustment coding. + Collaborates with Risk Data Analytics and… more
- Indy Gov (Indianapolis, IN)
- Probation Officer- Community Adjustment Print (https://www.governmentjobs.com/careers/indianapolis/jobs/newprint/4372824) Probation Officer- Community ... 11:59 PM Eastern + Description + Benefits Position Summary The Community Adjustment Field Officer's primary responsibility is to assist casework officers with… more
- Centene Corporation (Carson City, NV)
- …ongoing training and continuing education to the Medical Coding Specialists regarding risk adjustment , proper ICD-9 coding, and ICD-10 coding through written ... and/or exceeding QA standards. Upon approval of the Director, Risk Adjustment , the S-MCS and the M-MCA...as needed; + He/she serves as the MCA business representative for system enhancements (eg data entry tool design);… more
- Citigroup (New York, NY)
- …by RCPG for application by Citigroup firm-wide. + Specialist in Market Risk (FTRB), Credit Valuation Adjustment (CVA) and Derivatives Counterparty Credit ... RWA governance process and as well as being the representative for the CIAT organization in meetings with Senior...(RWA) regulations is required with a specialization in Market Risk (FTRB), Credit Valuation Adjustment (CVA) and… more
- Truist (Charlotte, NC)
- …following job description:** As a senior member of the Market and Liquidity Risk Management (MLRM) team within the Risk Management Organization (RMO), perform ... and qualitative assessments of Truist's asset liability management (ALM) and liquidity risk management practices and risk position. Through formal and informal… more
- Truist (Charlotte, NC)
- …the following job description:** As a member of the Market and Liquidity Risk Management (MLRM) team within the Risk Management Organization (RMO), operating ... under the leadership of the Senior Treasury Market and Liquidity Group Risk Officer, perform independent quantitative and qualitative assessments of Truist's asset… more
- Truist (Charlotte, NC)
- …review the following job description:** As a member of the Market and Liquidity Risk Management (MLRM) team within the Risk Management Organization (RMO), works ... with the Senior Treasury Market and Liquidity Group Risk Officer to perform independent quantitative and qualitative assessments of asset liability management (ALM)… more
- Rush University Medical Center (Chicago, IL)
- …including, securing reimbursement, guarding the Medical Centers assets, minimizing financial risk , working on behalf of our patient's financial liability. The ... Financial Services Representative 2 is also responsible for responding to internal...accounts that are in question, thoroughly researches before an adjustment is made. 10.Completes daily and weekly volume/productivity/management reports… more
- Travelers Insurance Company (West Bridgewater, MA)
- …requires satisfactory completion of required training to advance to the Claim Representative , Recovery position. This position is intended to develop skills for ... and identifies resources for specific activities to properly investigate, such as Risk Control, nurse consultants, fire or fraud investigators, and other experts.… more
- CRC Insurance Services, Inc. (Denver, CO)
- …market our services. + Pre-screening level-funded groups to determine suitable products and risk adjustment factors on premium rates. + Assisting agents to apply ... by management. **REQUIRED QUALIFICATIONS** The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable… more
- CRC Insurance Services, Inc. (Towson, MD)
- …market our services. + Pre-screening level-funded groups to determine suitable products and risk adjustment factors on premium rates. + Driving agents to apply ... by management. **REQUIRED QUALIFICATIONS** The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable… more
- CRC Insurance Services, Inc. (Columbus, OH)
- …market our services. + Pre-screening level-funded groups to determine suitable products and risk adjustment factors on premium rates. + Involving BSE as ... appropriate with assistance in closing new cases and adding product lines as needed. + Assisting agents/brokers in presenting our products to clients by joining client/broker calls as needed. + Servicing as change agent to guide broker to engage service… more
- UNC Health Care (Smithfield, NC)
- …necessary escalate to management patient-level issues stemming from contested charges, Risk Management or Patient Relations. 4. Reviews Cosmetic & Elective account ... projects. Assists management with quality audits including reviewing and approving adjustment requests at their approved level. 8. Analysis: Uses available reporting… more
- Travelers Insurance Company (West Bridgewater, MA)
- …and identifies resources for specific activities to properly investigate, such as Risk Control, nurse consultants, fire or fraud investigators, and other experts. ... to assure cost-effective resolution. + Manages both allocated and unallocated loss adjustment expenses. + Updates appropriate party as needed, providing new facts as… 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 ... The Provider Performance External Representative is a key member of the market...to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions… more
- The Cigna Group (Philadelphia, PA)
- …(at least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... inpatient / outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge and adherence to… more
- Providence (Portland, OR)
- …budgeting, projecting provider risk sharing and alternative payment amounts, and estimating risk adjustment and risk transfer payment amounts. + Key ... or assignments and is seen as a trusted finance representative . Provides counsel on a wide variety of actuarial...Benefit Modifications + Medical and Pharmacy Trends + RAF ( Risk Adjustment ) Performance + Network Performance +… more
- Commander, Navy Installations (Honolulu, HI)
- …to family dynamics, parent-child interaction, couples communication, stress reduction, adjustment to military lifestyle, Family Advocacy Program (FAP) case ... groups. Coordinates and manages specialized assessment and intervention services for at- risk children identified both inside and outside of the Family Advocacy… more