- CVS Health (Hartford, CT)
- …and some workdays from home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, ... from home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, Medicare, MMP and… more
- CVS Health (Hartford, CT)
- …We have an outstanding opportunity for an enthusiastic team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. ... Reporting to the Lead Director of Medicaid Risk Adjustment National Programs, this individual will...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Hartford, CT)
- … Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk Adjustment , the Market Manager of ... and quality assurance) across revenue integrity processes related to risk adjustment (RA) focused on complete and...program or programs that is jointly accountable for risk adjustment strategy, performance, and results within… more
- The Cigna Group (Bloomfield, CT)
- …to base salary._** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational ... role will work under the direction of Provider Education Manager to reach overall operational market goals in conjunction...health plan coding initiatives guidelines and requirements of the Risk Adjustment program to ensure… more
- CVS Health (Hartford, CT)
- …management, health and economic outcomes, and other business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics, the Sr. Analyst will ... more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- The Cigna Group (Bloomfield, CT)
- …Provider Performance Enablement teams, Provider Education, and the Risk Adjustment Operations teams. The Prospective Program Solutions & Performance Advisor ... role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall...strategic advisor for market specific prospective risk adjustment strategy and solutions. Communicates RA program … more
- CVS Health (Hartford, CT)
- …opportunity for a Senior Informatics Manager to join our dynamic Medicaid Risk Adjustment Analytics team! In this role you will provide complex analytics ... standards and State specific methodologies - Build reports and dashboards to track risk adjustment programs, and evaluate the effectiveness and quality of those… more
- CVS Health (Hartford, CT)
- …Business Consultant within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical record ... and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. Responsible for...to maximize results; customize ACA reporting views and outreach manager data needed for day to day operations work.… more
- CVS Health (Hartford, CT)
- …Consultant within the Revenue Integrity COE organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical record ... team members and/or matrixed staff as required to lead Risk Adjustment Revenue Integrity initiatives. Accountable for...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Humana (Hartford, CT)
- …similar **Preferred Qualifications** + Knowledge and/or experience within the Stars Organization, Risk Adjustment and/or Provider. + PMP or CAPM Certification + ... of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior… more
- Travelers Insurance Company (Hartford, CT)
- …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators,… more
- Sedgwick (Hartford, CT)
- …services such as resume and cover letter writing, career counseling, adjustment counseling, or vocational evaluations based on credentialing required by referral ... Performs other duties as assigned. + Supports the organization's quality program (s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's… more
- Actalent (Windsor Locks, CT)
- …project management process using integrated scheduling, earned value management, and risk and opportunity management * Work collaboratively with other Engineering ... demands of multiple projects * Work autonomously with limited oversight from manager * Support root cause investigations and corrective actions for field returns… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …other appropriate levels of care within a particular locale. The case manager participates in the decision-making about discharge and may request special evaluations ... procedures; + Participates in interdisciplinary meetings to promote and ensure adjustment and continuity of patient/individual care programs; + Responds to… more