- Fresenius Medical Center (Casa Grande, AZ)
- …ease patients into dialysis. The first weeks of dialysis involve a great deal of adjustment , along with increased risk of hospitalization and mortality. As a TCU ... diploma or GED required. + Must meet Centers for Medicaid and Medicare Services (CMS)-approved state and/or national certification requirements within the required… more
- Humana (Nashville, TN)
- …**Required Qualifications** + 5 or more years of experience in Managed Care with Stars, Risk Adjustment or Network Management experience + 2 or more years of ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Robert Half Finance & Accounting (Portland, OR)
- …* Comprehensive knowledge of financial functions such as accounting, forecasting, and risk adjustment . * Strong understanding of healthcare systems, managed ... care, and relevant regulatory frameworks. * Exceptional leadership skills with the ability to drive organizational change and development. * Proficiency in negotiation, contractual execution, and aligning initiatives with corporate strategies. Robert Half is… more
- Point32Health (Canton, MA)
- …for key initiatives + Serve as the key liaison for Actuarial, Finance, Risk Adjustment , Corporate Data and Analytics, Medical Cost Management, and Pharmacy ... or related field **Experience** + Required (minimum): 5 years in Medicare Advantage, Medicaid managed care, or healthcare product strategy. + Preferred:… more
- Humana (Trenton, NJ)
- …Electronic Medical Records, and/or Electronic Notifications. + Familiarity with CMS Risk Adjustment and Quality Measure Reporting. + Experience in ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Humana (Bristol, VA)
- …community and help us put health first** The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 travels to provider offices within the region ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- UTMB Health (Galveston, TX)
- …Coder - Apprentice American Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) *One of the ... plus. **Preferred Qualifications:** PB/HB, Revenue Cycle, Coding, Charge Capture, Medicare , CMS preferred. **LICENSES, REGISTRATIONS OR CERTIFICATIONS** CCA -… more
- Humana (Washington, DC)
- …organizational Transformation + Payor/provider experience, includingproduct design, quality programs, risk adjustment , population health, member / patient ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Convey Health Solutions (Fort Lauderdale, FL)
- …solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment , Stars performance, and member engagement. Pareto's deep ... analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment , Stars performance, and member engagement. Pareto's deep ... analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable… more