- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior ... Director of Medicare Risk Adjustment and Analytics....Director of Medicare Risk Adjustment and Analytics. This role will... performance that will assess the progress of the risk adjustment strategy + Develop… more
- Elevance Health (Woburn, MA)
- ** Medicare Risk Adjustment Advanced...creating a culture that is designed to advance our strategy but will also lead to personal and professional ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Elevance Health (Woburn, MA)
- ** Medicare Risk Adjustment Advanced...creating a culture that is designed to advance our strategy but will also lead to personal and professional ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …The role is responsible for the strategy , execution and performance of Medicare risk adjustment reporting and analytics, infrastructure and systems to ... Bring your true colors to blue. Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Associate Director of Risk … more
- Datavant (Boston, MA)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy ... and execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable… more
- Point32Health (Canton, MA)
- …and will work in a matrix environment collaborating with functions including risk adjustment , population health, finance, operations, actuarial, and sales. **Job ... **Job Summary** The Director of Contracting is responsible for contract strategy , development, negotiation, and implementation for hospitals, physician groups, and… more
- Datavant (Boston, MA)
- …outpatient or inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment , CDI, Medicaid, Commercial RA, and HEDIS ... up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide...clients understand the shifts and trends happening in the risk adjustment coding space. **What you will… more
- Humana (Boston, MA)
- …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …delivery of high-quality, trustable clinical data to support key initiatives around quality, risk adjustment , medicare stars, and interoperability. This is a ... + Collaborate with cross-functional teams, including clinical operations, performance measurement, and risk adjustment , to execute on data procurement & usage… more
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