- CVS Health (Workman, MN)
- …and every day. **Position Summary** CVS Health has an exciting opportunity for a Project Manager to join our Risk Adjustment Analytics team! In this role ... a hybrid project manager and subject matter expert in Medicaid Risk Adjustment Medicaid analytics and reporting. You will be responsible for managing State … more
- East Boston Neighborhood Health Center (Revere, MA)
- …improvement Certifications: + Required: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) + Preferred: Additional auditing or ... you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential...experience in professional and outpatient coding, provider education, or risk adjustment auditing + Experience delivering coding… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and… more
- Centene Corporation (Harrisburg, PA)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Manager , Healthcare Analytics drives the execution of analytics strategy through… more
- Hartford HealthCare (Farmington, CT)
- …observed to expected ratio (O:E), capture of appropriate severity of illness (SOI) and risk of mortality (ROM), risk adjustment and hierarchal condition ... capture (HCC) codes, risk adjustment , and other high quality documentation outcome measures. ....plans as indicated, report trends and concerns to CDI Manager **Other Management** . Contributes to the efficient operation… more
- Mount Sinai Health System (New York, NY)
- …for driving key population health goals including access, quality, utilization and accurate risk adjustment with a group of practices and (2) close partnership ... with the CDQI Director to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing physicians, medical… more
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