- 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 (Woodbridge, NJ)
- ** 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 (Louisville, KY)
- ** 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
- LA Care Health Plan (Los Angeles, CA)
- …technical meetings related to encounters and claims data for risk adjustment for all product lines (Commercial, Medicare , and Medi-Cal), capture notes ... risk adjustment program changes; incorporate changes and requirements into strategy . Develop and manage risk adjustment data Infrastructure programs… more
- Corewell Health (Grand Rapids, MI)
- …role is a key strategic leader who initiates, develops and executes/implements the multi-product risk adjustment strategy set by the executive leaders of ... risk adjustment strategies as applicable. Success will require competence in risk adjustment strategy , an ability to build and scale risk… more
- Marshfield Clinic (Marshfield, WI)
- … Risk Adjustment Revenue Director is a finance leader responsible for risk adjustment strategy and related revenue management for Sanford Health ... Plan's Medicare , Affordable Care Act and Medicaid business and reports...as Sanford Health Services executives and leadership to lead risk adjustment strategy and process.… more
- Blue KC (Kansas City, MO)
- … adjusted revenue optimization strategy and oversight of Government Programs Risk Adjustment programs. **Job Description** + Interface with Blue KC ... and quality coding. + Provide Government Programs oversight to ensure Medicare Advantage and ACA Risk Adjustment and state regulations are maintained. +… more
- Highmark Health (Blue Bell, PA)
- …At least five years' direct management experience Preferred: + 5 or more years' Medicare and/or Commercial risk adjustment experience + Previous involvement ... financial returns in a fully compliant manner. Develop a Risk Management governance strategy for the Enterprise...Management: + Provide strategic leadership and management for the Risk Adjustment Accuracy Management Department. + Develop… more
- CareFirst (Baltimore, MD)
- …are: direct and indirect reports and vendors. Prioritize work in alignment with Risk Adjustment strategy , business goals, organizational strategies and ... oversees the outcomes and operations of risk adjustment across the organization within Medicare Advantage, Medicaid & ACA markets. The Risk … more