- CVS Health (Jacksonville, FL)
- …with heart, each and every day. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, ... project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs...+ Strong written and verbal communication. **Preferred Qualifications** + Risk adjustment program experience within… more
- HCA Healthcare (Campbell, CA)
- …to develop and implement a high-performing and compliant quality and risk adjustment program . The Manager 's primary focus is to develop, implement ... We care like family! Jump-start your career as a(an) Manager of Quality - Risk Adjustment...**:** + Accountable for leading a high-performing and compliant risk adjustment program including proper… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Coding Manager Requisition # 24887 Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors Manager ... reside in Oregon or SW Washington. Job Summary The Risk Adjustment Coding Manager is...relationships and monitoring performance against service level agreements. Compliance Program + Project manage all audits including but not… more
- CVS Health (Montgomery, AL)
- …And we do it all with heart, each and every day. **Position Summary** As the Manager , Risk Adjustment will be responsible for leading Risk ... This role will have responsibility in maintaining and improving risk adjustment accuracy by partnering closely with...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Highmark Health (St. Paul, MN)
- …have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... 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… more
- Elevance Health (Atlanta, GA)
- …serving as a strategic partner for the Medicare business to Enterprise Risk Adjustment , Business Operations, Regulatory Compliance and Internal Audit business ... Assists management by overseeing day to day operations for risk adjustment programs including both prospective and...compliance with Center for Medicare and Medicaid Services (CMS) program requirements + Serves as a strategic partner to… more
- CVS Health (Columbia, SC)
- …has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will support data analysis, ... Knowledge of health insurance concepts - Experience working in risk adjustment - Experience working at a...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… 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
- Marshfield Clinic (Marshfield, WI)
- …Risk Adjustment Services is a key leader for commercial and government program actuarial and risk adjustment topics. This role provides financial ... exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** 682891378 SHP-Actuarial **Scheduled Weekly… more
- WGNSTAR (De Soto, KS)
- …all corporate safety protocols and report unsafe conditions. + Assist Adjustment Technicians with routine installations and/or maintenance on assigned products. + ... check sheet, report creation, and submission to Installation Site Manager . + Attend daily field start-up meetings. + Work...is occasionally exposed to toxic or caustic chemicals and risk of electrical shock. + The noise level in… more