- 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
- Amazon (Mountain View, CA)
- …of people and you're up for a challenge, let's talk! As a Clinical Specialist Manager for AWS Healthcare AI, you will play a critical role in determining what our ... We are looking for a passionate, talented, and inventive Clinical Specialist Manager who can bring bleeding edge machine learning and annotation experience into… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior Manager is responsible for overseeing staff, operations and resources within Mount Sinai Beth Israel Materials Management department, ... administrative, financial operations and high employee engagement. The Senior Manager ensures that the department is run according to...system, and MMIS reports, as necessary to ensure proper adjustment of PARs and upkeep of all signage and… more
- Centene Corporation (Tallahassee, FL)
- …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
- Deloitte (Chicago, IL)
- …reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment + Has strong interpersonal skills to collaborate with ... + Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review, informatics RN,… 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
- ChenMed (Miami, FL)
- …techniques demonstrating strategic impact + Expertise in Medical Economics and clinical informatics + Expertise with risk - adjustment models and government ... + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Strong business...knowledge of Medicare program including but not limited to Risk Adjustment processes and Fee For Service.… more
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