- 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 (Jefferson City, MO)
- …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
- Mount Sinai Health System (New York, NY)
- …for driving key population health goals including access, quality, utilization and accurate risk adjustment with a group of practices and (2) close partnership ... with the CDQI Director to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing physicians, medical… more
- Hartford HealthCare (Farmington, CT)
- …collaboration with the Quality Management Department on mortality, PSI, HAC and other risk adjustment outcomes. . Shares accountability to present quarterly Key ... reports and communicates results and action planning to CDI Manager and Supervisors. . Provides CDS, coding and provider...to understand and communicate the impact of CC/MCC's, PSI/HACs, risk adjustment , and other variables on the… more