- Datavant (Tallahassee, FL)
- …life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own ... the data strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations,… more
- Datavant (Tallahassee, FL)
- …monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of...from your own workspace! **What you will do:** + Coding Team Lead is responsible for supporting the … more
- Datavant (Tallahassee, FL)
- …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... + Monitor the performance of the Risk Adjustment Operations both internally and with coding ...work experience coder with a minimum of 5 year's coding experience in risk adjustment … more
- HCA Healthcare (Fort Lauderdale, FL)
- …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager (RCOM) is responsible for assisting in the… more
- CenterWell (Tallahassee, FL)
- … leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible...provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role, you will drive ... or a related field. + Strong understanding of Medicare Advantage programs, risk adjustment models (eg, HCC coding ), and the regulatory environment (CMS). +… more
- 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
- Molina Healthcare (Jacksonville, FL)
- …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
- 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 ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk … more