- 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
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of medical ... Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coding Professional work assignments are often… 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
- Hartford HealthCare (Farmington, CT)
- …* Knowledge of ICD 10 Diagnostic and CPT coding regulations and guidelines and risk adjustment coding * Extensive knowledge of state, federal and Medicare ... Orthopedics and Tallwood Urology & Kidney. Position Summary: The Director of Professional Services Coding will provide system wide leadership and strategic direction… more
- Hartford HealthCare (Farmington, CT)
- …and education specialist will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting ... disseminate audit requirements. 6. Identify process improvements to capture data for Medicare Risk Adjustment and help providers code to the level of… 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
- University of Connecticut (UConn) (Storrs, CT)
- …the minimum qualifications for the position, and contact information for three (3) professional references. In compliance with federal law, all persons hired ... and systems. + Identify enterprise level security gaps, perform risk assessments, and recommend solutions to ensure best practices...Involves close vision, color vision, depth perception, and focus adjustment . Must be able to lift 35 lbs. to… 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