- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and… more
- Centene Corporation (Tallahassee, FL)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Manager , Healthcare Analytics drives the execution of analytics strategy through… more
- Deloitte (Tampa, FL)
- …reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment + Has strong interpersonal skills to collaborate with ... + Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review, informatics RN,… more
- ChenMed (Miami, FL)
- …techniques demonstrating strategic impact + Expertise in Medical Economics and clinical informatics + Expertise with risk - adjustment models and government ... + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Strong business...knowledge of Medicare program including but not limited to Risk Adjustment processes and Fee For Service.… more