- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Operations Manager plays a critical role in the development and execution of the corporate ... risk adjustment strategy for the acquisition and...programs and metrics for monitoring the progress of the operations in collaboration with cross-functional teams and senior leadership.… more
- Evolent (Phoenix, AZ)
- …Be Doing:** ** Manager , Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of ... to providing better health outcomes for the population. The Risk Adjustment Coding Manager plays...coding guidelines, and updates. + Oversee and manage day-to-day risk adjustment coding team and operations… more
- Datavant (Juneau, AK)
- …life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the ... data strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations, database… more
- Molina Healthcare (St. Petersburg, FL)
- … Manager - Provider Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program management, ... Development** + Develop, review, and update Standard Operating Procedures (SOPs) for risk adjustment and quality program workflows. + Maintain accurate,… more
- LA Care Health Plan (Los Angeles, CA)
- … department operations Chief Architect for reporting and analytics in support of Risk Adjustment operations for multiple lines of businesses. Serves as ... Enterprise Risk Adjustment Analyst III Job Category:...to reimbursement reporting requirements. Brings identified concerns to the Manager with recommendations for resolution. Applies subject expertise in… more
- Elevance Health (FL)
- …and actively participates in internal risk adjustment analytics and risk adjustment operations meetings. + Participates in peer-to-peer review ... ** Risk Adjustment Actuarial Analyst II -...** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with physicians and ... medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure...do not meet quality standards. + Examples of missed operations missed opportunities. + Examples of clinical that ensure… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... Area: Customer Service/ Operations About Blue Cross and Blue Shield of Minnesota...* Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or… more
- The Cigna Group (Bloomfield, CT)
- …of strategic objectives within the Individual and Family Plan's (IFP) Risk Adjustment Operations . The Manager will ensure compliance, quality standards, ... The _Quality Review and Audit Manager_ (" Manager ") is responsible for the day-to-day management and...education to address gaps or deficiencies, and participating in Risk Adjustment activities and projects within the… more
- Amazon (Seattle, WA)
- …future of Risk and Governance in Finance Operations Amazon is seeking a Risk Manager to join our Finance Operations Risk , Governance, and ... Earth's most customer-centric company. Key job responsibilities As a Risk Manager , you will be the go-to...go-to expert for project and program management across Finance Operations Risk & Governance (FORGE). Your responsibilities… more
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