- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of ... complete and accurate medical record documentation and coding. The Program Manager will contribute to the development...program results, and represent and advocate for the Risk Adjustment Team's business interests in corporate… more
- Point32Health (Canton, MA)
- …assessments, prospective data decision support and other new programs for the Risk Adjustment department. The Sr. Program Manager will also help to lead ... who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Sr. Program Manager will be responsible for the implementation, execution and… more
- Corewell Health (Grand Rapids, MI)
- …performance indicators (KPIs) measure productivity, quality and overall impact of the company's risk adjustment program , including reporting KPIs on a ... for remote work (CA and NY). Positioned in the Risk Adjustment Department, the Manager ,...model changes; ensures appropriate operational response to regulatory and risk adjustment program changes. Responsible… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... to support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key leadership role in the Risk… more
- Elevance Health (Woodbridge, NJ)
- **Medicare Risk Adjustment Advanced Analytics Analyst** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... unless an accommodation is granted as required by law._ The **Medicare Risk Adjustment Advanced Analytics Analyst** is responsible for employing advanced… more
- Elevance Health (Louisville, KY)
- …consult with business leaders and internal partners to apply the insights to drive risk adjustment program innovation and enhancement, to target the right ... **Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site...members for the right service, to measure program outcomes, and to support information-based strategic decision making.… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Risk Adjustment Revenue Director (Remote/Hybrid) **Cost Center:** 682891390 SHP-Strategic ... (United States of America) **Job Description:** **JOB SUMMARY** The Risk Adjustment Revenue Director is a finance...or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition… more
- Ankura (New York, NY)
- …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and...and payer denial information + Works with the Project Manager to analyze and understand client concerns and develop… more
- Amazon (Seattle, WA)
- Description Amazon Books is seeking a Books Risk Management (BRM) Risk Prevention Program Manager to lead our most complex root cause investigations and ... translate findings into strategic improvements across key program areas. This role owns root cause investigation, corrective action definition, and drives the… more
- Henry Ford Health System (Troy, MI)
- …to the Director, Risk Adjustment and Value-Based Payment, the Program Manager is responsible for complex program management, strategic planning, ... The Program Manager - Population Health & Value-Based Payment has an important role in a high-profile group tasked with implementing system-wide improvements… more