- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's ... guidance, and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes… more
- Highmark Health (Hartford, CT)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to… more
- Datavant (Hartford, CT)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for… more
- The Cigna Group (Bloomfield, CT)
- …ensure annual up to date coding guidelines. + Collaborate internally to support risk adjustment compliance including policy updates, facilitating ... Analyst will be instrumental in serving as a key subject matter expert in HHS risk adjustment regulations and coding policy for both Cigna's internal teams as… more
- Humana (Hartford, CT)
- …This position utilizes financial projection and analytics skills while working in Medicare risk adjustment . Additionally, you will work to build consensus with ... help us put health first** The Senior Financial Analytics Professional manages data to support and influence decisions on...with Medical Claims or other healthcare data + Medicare Risk Adjustment Experience + Financial or actuarial… more
- CenterWell (Hartford, CT)
- …efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement efforts ... and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity… more
- Sedgwick (Hartford, CT)
- …in active job search and/or during retention activities and monitors client compliance through follow-up contacts with employers. + Provides services such as resume ... and cover letter writing, career counseling, adjustment counseling, or vocational evaluations based on credentialing required by referral source. + Works with… more
- Amazon (Windsor, CT)
- …corporate based reporting systems. The WHSS supports management's efforts to ensure compliance with all corporate Program expectations and applicable federal & state ... laws. The WHSS also conducts risk assessments related to jobs performed (Job Hazard Analysis)...corporate based reporting systems Support management efforts to ensure compliance with all corporate program expectations and applicable federal… more
- CenterWell (Hartford, CT)
- …in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex ... our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate… more
- Travelers Insurance Company (Hartford, CT)
- …by-laws and other relevant documents which may have an impact on the adjustment of losses. + Work with customers and vendors to determine restoration options ... file inventory to ensure timely resolution of cases. + Handle files in compliance with state regulations, where applicable. + Provide excellent customer service to… more