- TEKsystems (Sunrise, FL)
- …services. We accelerate business transformation for our customers. Our expertise in strategy , design, execution and operations unlocks business value through a range ... of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on… more
- TEKsystems (Sunrise, FL)
- …services. We accelerate business transformation for our customers. Our expertise in strategy , design, execution and operations unlocks business value through a range ... of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on… more
- TEKsystems (Sunrise, FL)
- …services. We accelerate business transformation for our customers. Our expertise in strategy , design, execution and operations unlocks business value through a range ... of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on… more
- Ankura (New York, NY)
- …master's degree from an accredited college/university + 8+ years of experience in Medicare Risk Adjustment operations, internal audit, or compliance either ... compliance, accreditations, operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The… more
- CareFirst (Baltimore, MD)
- … Manager plays a critical role in the development and execution of the corporate risk adjustment strategy . The role serves as a dedicated resource within ... the organization for Medicare Advantage, Medicaid and ACA markets, coordinating and leading... strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations… more
- CareFirst (Baltimore, MD)
- …risks or barriers to leadership to ensure that all risk adjustment activities fully comply with Medicare , Medicaid, ACA, and state-specific regulations. ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Operations Supervisor supports...Operations Supervisor supports the execution of the corporate coding strategy across Medicare Advantage, Medicaid, and ACA… more
- Molina Healthcare (Ridgeland, MS)
- …ensuring alignment of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality subject matter expert for the health plan. The ... **Job Description** **Job Summary** The AVP, Quality & Risk Adjustment is responsible for leading...design, implementation, and monitoring the effectiveness of a comprehensive Risk and Quality intervention strategy , acting as… more
- MVP Health Care (Rochester, NY)
- …audits for Medicare and Commercial programs required + Experience in risk adjustment payment models strongly + Intermediate Microsoft Excel skills, including ... To achieve this, we're looking for a **Professional, Sr. Risk Adjustment Analyst** to join #TeamMVP. This...+ Supporting development and execution of a multi-year improvement strategy and annual plan of action to maximize reimbursement.… more
- Highmark Health (Pittsburgh, PA)
- …to Quality and Coding for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable guidelines, regulations and ... accuracy of medical record documentation and coding. Promotes the strategy and capabilities to develop risk management...a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track… more
- Health Care Service Corporation (Chicago, IL)
- …key performance indicators, trends, and financial acumen + Knowledge of Medicare Stars, Medicare Risk Adjustment , and Medicare Finance. + Strong ... leading the team to support divisional short and long-term initiatives related to Medicare provider network strategy and leverage analytics to drive provider… more
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