- Humana (Salt Lake City, UT)
- …+ 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 (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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
- Datavant (Salt Lake City, UT)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... coding accuracy rate. + Any other task requested by management . **What you will bring to the table:** +...of Datavanters who are all responsible for stewarding a high- performance culture in which all Datavanters belong and thrive.… more
- Molina Healthcare (West Valley City, UT)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems *… more
- Molina Healthcare (UT)
- …Azure, AWS, or Hadoop + 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment + 3-5 years of experience in working with complex data to ... **Job Description** **Job Summary** The Sr Analyst, Risk and Quality Reporting role supports Molina's ...include quantifying, measuring, and analyzing financial/ performance management and utilization metrics To all… more
- CenterWell (Salt Lake City, UT)
- …(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 (Salt Lake City, UT)
- …+ 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 (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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
- RELX INC (Salt Lake City, UT)
- …challenges. Our employees collaborate cross-functionally and work directly with clients to improve risk management in a cost effective and reliable manner. We ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn… more
- Molina Healthcare (Layton, UT)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those… more
- University of Utah (Salt Lake City, UT)
- … management , building and maintaining relationships with stakeholders, student risk assessment, and proactive outreach and education. Additionally, the ADSS will ... Support. Using a broad knowledge base of mental health issues, behavioral risk assessment, crisis intervention skills, and student development theory, the ADSS… more
- Amazon (Salt Lake City, UT)
- …assembly, test, automation. You will exercise your manufacturing engineering and quality management expertise and develop risk mitigation plan for NPI. You ... management disciplines including scope, schedule, budget, quality, along with risk and critical path management experience Experience managing… more
- Travelers Insurance Company (Salt Lake City, UT)
- …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
- Travelers Insurance Company (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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
- Amazon (Salt Lake City, UT)
- …create and maintain complex tracking systems * Demonstrates expertise in leveraging project management tools to track and analyse key performance metrics. * ... Management * Timeline and milestone tracking expertise * Risk and issue management * Stakeholder ...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Sedgwick (Salt Lake City, UT)
- …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