- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** Risk Adjustment Revenue Manager (Remote) **Cost Center:** 682891390 ... 5:00 pm (United States of America) **Job Description:** The Risk Adjustment Revenue Manager is...or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Operations Manager plays a critical role in the development and execution of the corporate risk ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… more
- Blue KC (Kansas City, MO)
- …discount program ** **Job Description Summary:** Manages and executes the Blue KC Risk Adjustment (RA) programs for Commercial (ACA). Manages Risk ... coding, auditing and retrieval operations and if needed special projects within the risk adjustment programs. **Job Description** + Manage all risk … 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
- CVS Health (Tallahassee, FL)
- …within the existing program and vendors._ **Required Qualifications:** + _Expertise in Risk Adjustment payment models for MA, ACA and Medicaid._ + _Expertise ... Manager , Business Consultation job is to drive prospective program volume and quality of performance. Revenue Integrity Prospective...in Risk Adjustment timelines and requirements_ + _Must… more
- Elevance Health (FL)
- ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II - Advanced...Performs data mining and data-driven analyses to evaluate historical program performance and to inform current operating decisions. +… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …for clinical and operational excellence. **Primary Function/General Purpose of Position** The Risk Score Accuracy (RSA) Program Manager provides leadership, ... RSA initiatives, including Hierarchical Condition Categories (HCC) coding and other risk adjustment payment models. This role strategizes and collaborates… more
- Amazon (Seattle, WA)
- …to detect and quickly mitigate unique patters of bad actor activity. The Senior Program Manager will be responsible for coordination of goals, AI based roadmaps ... These gaps can be within AIT and the Sr. Program Manager is expected to build a...quality and speed on these partnerships 5 Owning the program for developing feedback loops from AIT risk… 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
- Amazon (Seattle, WA)
- … risk and maximize trust in Amazon.com. Key job responsibilities As a Sr. Program Manager in BRP, you will be responsible for creating and managing roadmaps ... like to innovate and simplify? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest...seasoned individual who has excellent experience as a Sr. Program Manager and comes from a similar… more