- CVS Health (Phoenix, AZ)
- …Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment , the Market Manager will work closely with cross-functional ... Risk Adjustment Coder (CRC) Prior experience in Risk Adjustment field/ Medicaid **Education** Bachelor's Degree required from an accredited four… more
- Medical Mutual of Ohio (OH)
- …delivery approach and assist in the review of provider agreements.** + **Acts as project manager over large internal risk adjustment projects (eg, Optum In ... Medicare Supplement, and individual plans. _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider performance,… more
- reveleer (CA)
- …in a customer-facing account or vendor management role, managing Risk Adjustment projects specific to Medicare, Medicaid , and Commercial lines of business, ... fast-growing technology-enabled services company that powers performance/quality measurement and risk adjustment solutions in healthcare. Specifically, Reveleer… more
- Deloitte (New York, NY)
- …Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... Capital practice. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance Solutions Practice, you… more
- Deloitte (Minneapolis, MN)
- …with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + Experience with risk adjustment mechanisms + Experience with Provider reimbursement streams (ie, DSH, UPL, ... company experience + 10 + years of experience supporting Medicaid programs + ASA with progression to FSA, FSA,...time in the future Preferred: + Experience providing Medicaid consulting services to Government agencies + Experience… more
- Dignity Health (Bakersfield, CA)
- …Based Coding Team and managing the day to day operations to ensure the HCC risk adjustment model is being met for provider coding. Specifically through programs ... Administration or Finance or Business Administration - Experience with ACA and Medicare risk adjustment coding strongly preferred. **Pay Range** $38.81 - $56.28… more
- Deloitte (Fresno, CA)
- …product strategy + Reimbursement models - including value-based care/ACO modeling + Risk adjustment mechanisms + Familiarity with group insurance products ... Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital...& Insurance Solutions practice works with finance, actuarial, and risk functions to help life insurance companies, property &… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Case Manager II or Therapist (.6) PSYCH STABILIZATION ... * Provides crisis intervention, therapeutic support and coping skills on adjustment to illness/disability. * Identifies physical, psychosocial, and spiritual needs… more
- Tufts Medicine (Boston, MA)
- …aligned with the Hospital Quality and Equity Incentive Program of the Massachusetts Medicaid 1115 Waiver. This work will spread across the Tufts Medicine Health ... Medical Officer for Quality, the Melrose Wakefield Hospital Senior Director Quality, Risk Management & Patient Safety and the Lowell General Hospital Vice President,… more
- Molina Healthcare (Buffalo, NY)
- …Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures ... complex Value-Based Care contracts have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to… more