- Convey Health Solutions (Chicago, IL)
- …knowledge to accelerate analytic insights and new feature enhancements to Pareto's risk adjustment solution suite. Additionally, the ability to understand / ... which contribute to new features. + Collaborate with the Manager , Data Analytics and Product team to support analytical...questions for empowering key stakeholders to gain insights into risk adjustment performance. + Provide data analysis… more
- CareOregon (Portland, OR)
- …Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk adjustment optimization, provider payment evaluation and review ... Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Actuarial Services Manager Department Finance...our performance and the potential for improvement. | Monitor risk adjustment applied to capitation revenue and… more
- CareOregon (Portland, OR)
- …Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk adjustment optimization, provider payment evaluation and review ... Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Actuarial Services Manager Department Finance...our performance and the potential for improvement. + Monitor risk adjustment applied to capitation revenue and… more
- CenterLight Health System (NY)
- …physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random ... for reviewing and implementing accurate medical/coding policies and Claims Manager edits across all PACE sites and other entities.... (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three… more
- Banner Health (Phoenix, AZ)
- …This role leads enterprise strategies to improve cost efficiency, quality outcomes, risk adjustment accuracy, and contract performance across lines of business ... Professional (CPP); Chartered Property Casualty Underwriter (CPCU); Associate in Risk Management (ARM); CPA; SPHR; Registered Health Information Administrator… more
- Actalent (Sunrise, FL)
- …mental illness (SMI). Responsibilities + Lead a multidisciplinary team to identify high- risk clients, address care gaps, and collaborate with providers to enhance ... use disorder services. + Conduct thorough needs assessments, including risk stratification, to determine health, psychological, educational, and social needs.… more