- Maris Grove by Erickson Senior Living (Glen Mills, PA)
- …retirement community located in Glen Mills, Pennsylvania. We're part of a growing network of communities developed and managed by Erickson Senior Living, a national ... organizes payroll for the medical centerCoordinating training of staff and providers on coding and billing issues with the Managers of Reimbursement and Coding … more
- Point32Health (MA)
- …and best practices; utilize this knowledge to recommend modifications to Point32Health's risk adjustment programs and provider engagement practices + Support the ... individual will support the operations and analysis of all risk adjustment programs and serve as the primary point...of contact to a select portion of our provider network . This includes strategically important business partners, such as… more
- Somatus (Mclean, VA)
- …establish risk adjustment analytics such as predictive modeling for coding improvement opportunities, provider coding improvement opportunities, provider ... for risk adjustment optimization, particularly for provider and member engagement activities. + Manage processes needed to conduct at home wellness visits.… more
- Humana (Columbus, OH)
- …responsible for driving provider performance programs, goals and improvement metrics for network providers and partnerships. The Engagement Professional is an ... Network Optimization, Clinical Services, Value-Based contracting, HEDIS and Risk Adjustment. Reporting to the Associate Director and/or Market Development… more
- CVS Health (Hartford, CT)
- …- 2+ years of experience in the health care industry, Medicaid operations, risk adjustment, or medical coding and documentation preferred- Knowledge of insurance ... for an enthusiastic team player to lead a suite of market focused Risk Adjustment Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting… more
- Capital One (Mclean, VA)
- …security, network security, cyber security, data protection), information systems risk management, information systems auditing, or a combination + At least 1 ... Center 1 (19052), United States of America, McLean, Virginia Principal Associate Cyber Risk & Analysis, Technology Audit (Hybrid) Capital One's Audit function is a… more
- Capital One (Mclean, VA)
- Center 1 (19052), United States of America, McLean, Virginia Manager, Cyber Risk & Analysis- Technology Audit (Hybrid) **Capital One's Audit function is a dedicated ... including critical technology functions, cloud-based infrastructure, emerging technology, cybersecurity, risk management, application, and third-party management, as well as… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …and back-office processes, including staff, physician, and patient scheduling, billing/ coding and medical records. Ensures appropriate office policy and procedures ... best practices. + Carry out directives of St. Luke's Network to ensure compliance with all federal and local...and physician education as required to maintain optimal procedure coding . + Within guidelines established, approve invoices and major… more
- Centene Corporation (Wichita, KS)
- …Acts as a liaison between Tier II providers (large PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages ... Network performance for assigned territory through a consultative/account management...approach. Drives provider performance improvement in the following areas: Risk /P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization,… more
- Centene Corporation (Miami, FL)
- …education, including writing and updating orientation materials + Manages Network performance for assigned territory through a consultative/account management ... performance + Drives provider performance improvement in the following areas: Risk /P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. +… more
