- Molina Healthcare (Wisconsin Dells, WI)
- …physical examinations. * Captures and documents annual diagnoses accurately consistent with Medicare risk adjustment . * Conducts comprehensive annual ... acute/primary care and chronic disease management. * Identifies medical risk and collaborates with members of the care team...be a graduate of an accredited physician assistant studies program . Nurse practitioner must be a graduate of an… more
- Molina Healthcare (Des Moines, IA)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work… more
- 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 ... maintenance of a safe and clean working environment within the home therapy program . Supports the organization's commitment to the Quality Enhancement Program … 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 (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 ... + This job is part of Humana's Driver safety program and therefore requires an individual to have a...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Dignity Health (Bakersfield, CA)
- …and dual eligible populations, and benefit systems is preferred. - HEDIS/Stars and HCC/ Risk adjustment knowledge. \#LI-DH **Where You'll Work** The purpose of ... a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from… more