- ChenMed (Miami, FL)
- …+ Comprehensive knowledge of Medicare program including but not limited to Risk Adjustment processes and Fee For Service. + Knowledge of applicable federal, ... Revenue Cycle Management (RCM) Optimization manages and organizes revenue strategy activities to maximize cash flow through the creation...incumbent also serves as a subject matter expert on risk - adjustment and medical economics to aid in… more
- Point32Health (NH)
- …and will work in a matrix environment collaborating with functions including risk adjustment , population health, finance, operations, actuarial, and sales. **Job ... **Job Summary** The Director of Contracting is responsible for contract strategy , development, negotiation, and implementation for hospitals, physician groups, and… more
- Humana (Carson City, NV)
- …+ Must reside within region [Las Vegas] **Preferred Qualifications** + Experience with Medicare Risk Adjustment and/or medical coding + Progressive ... advance their goals related to interoperability, quality, value-based arrangements, and risk adjustment strategies. Recommend execution strategies and monitor… more
- Humana (Sacramento, CA)
- …+ Experience working with physician groups, provider contracting, market operations, and Medicare Risk Adjustment and Stars/Quality functions + Knowledge ... and oversight of the annual budget, financial planning and projections, risk management and operational metrics and reporting while working with value-based… more
- Humana (Jackson, MS)
- …assigned provider. The Senior Coding Educator is responsible for creating and executing the risk adjustment strategy for each provider groups. + Analyzes ... with relationship owners and HQRI + Monitors and develops strategy with leader and Relationship Owner, tailor's provider group...Coder (CRC) + Experience interacting with healthcare providers + Medicare Risk Adjustment knowledge +… more
- Humana (Washington, DC)
- …in a health care and / or Insurance setting + Working knowledge of Medicare Risk Adjustment and/or Stars + Experience utilizing Articulate products ... solutions are necessary or relevant. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues...Information** This role will be responsible for supporting the Medicare Risk Adjustment Team within… more
- Humana (Olympia, WA)
- …nursing (BSN), or a related field, or equivalent work experience. + Experience with Medicare Risk Adjustment and/or medical coding. + Experience with ... advance their goals related to interoperability, quality, value-based arrangements, and risk adjustment strategies. Recommend execution strategies and monitor… more
- Deloitte (Colorado Springs, CO)
- …care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk adjustment + Support business development efforts for Federal and ... develop, and motivate my workforce? What should my AI strategy be for the HR function? Do I have...waivers (ie, 1115, 1915 b/c, 1332) + Experience with risk adjustment mechanisms + Experience with Provider… more
- Molina Healthcare (WA)
- …with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/ Risk , Director of ... revenue management, strategy , and compliance + Knowledge of value based programs, risk adjustment models, quality metrics such as HEDIS and STARS, knowledge… more
- CenterWell (Jacksonville, FL)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... organizational & market priorities, trends, and goals, to develop a clinical strategy to advance clinical talent and performance + Interview, hire, and supervise… more