- CVS Health (Atlanta, GA)
- …And we do it all with heart, each and every day. **Position Summary** As the Manager , Risk Adjustment will be responsible for leading Risk ... States. This role will have responsibility in maintaining and improving risk adjustment accuracy by partnering closely with leadership from our key value-based… more
- Elevance Health (Atlanta, GA)
- …Strong analytical, organizational, presentation, and problem-solving skills strongly preferred. + Medicare risk adjustment experience preferred. + Experience ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Elevance Health (Atlanta, GA)
- …week)** **Position Overview:** Responsible for serving as a strategic partner for the Medicare business to Enterprise Risk Adjustment , Business Operations, ... Assists management by overseeing day to day operations for risk adjustment programs including both prospective and...ensuring the programs are in compliance with Center for Medicare and Medicaid Services (CMS) program requirements + Serves… more
- CVS Health (Atlanta, GA)
- …has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will support data analysis, ... Medicare or Medicaid - Knowledge of health insurance concepts - Experience working in risk adjustment - Experience working at a health plan - Attention to… more
- Vatica Health (Alpharetta, GA)
- …billing, quality and Value Based Care measures and metrics. Risk Adjustment knowledge/experience is preferred. + Understanding of Medicare , ACD, Medicaid, ... The Manager of Clinical Operations leads and manages the...(MSAs) to ensure their efficiency, productivity, and effectiveness. The Manager of Clinical Operations collaborates with and reports to… more
- Molina Healthcare (Atlanta, GA)
- …with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/ Risk , Director of ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...strategy, and compliance + Knowledge of value based programs, risk adjustment models, quality metrics such as… more