- Highmark Health (Charleston, WV)
- …including its drivers in disease-based management, care management, utilization management, and risk coding opportunities as well as pharmacy strategies. + ... performance improvement. Accountable for meeting targets in areas of Risk Revenue, Quality/stars, affordability, reimbursement/contracting trend, network … more
- Lumeris (OH)
- …workflows to improve population health management, including cost, quality, access, network optimization, and documentation and coding . The Population Health ... directly with assigned provider organization(s) to achieve outcomes across provider engagement initiatives. They will work to positively influence Accountable Care… more
- Ankura (Dallas, TX)
- …Ankura, we know that collaboration drives results. This position supports the Ankura Risk , Forensics & Compliance practice - one of six practices focused on client ... of the software development process; (iii) interviewing personnel responsible for network and software security (iv) overseeing static and dynamic code analysis;… more
- Google (Seattle, WA)
- …or threat modeling. + 2 years of experience with security engineering, computer and network security, and security protocols. + 2 years of coding experience in ... C/C++, etc.). Preferred qualifications: + 4 years of experience coding in Go. Our Security team works to create...for Google's users and developers. Security Engineers work with network equipment and actively monitor our systems for attacks… more
- GliaCell Technologies (Columbia, MD)
- …a large government contract. Key Responsibilities: + Pure DevOps role performing network authentication, visualization, machine learning, some coding and more. ... demonstrated ability to read the code and understand the coding logic to assist in troubleshooting + 10+ years'...complex software systems to isolate defects, reproduce defects, assess risk , and understand varied customer deployments. + Ability to… more
- SMBC (New York, NY)
- … Risk , Finance, and Treasury stakeholders to foster cross-functional engagement and maintain foundational knowledge of Treasury disciplines, inclusive of capital, ... diverse client base to local markets and the organization's extensive global network . The Group's operating companies in the Americas include Sumitomo Mitsui Banking… more
- Humana (Pittsburgh, PA)
- …the market's performance. **Key Functions** + Maintain collaborative relationships (Provider Engagement , Risk Adjustment, Clinical Teams, etc.) + Instill focus ... PA or MD** + Prior Medicare experience + Provider engagement /education, risk adjustment or related experience +...and the ability to identify gaps in care + Coding experience **Additional Information** To ensure Home or Hybrid… more
- The Cigna Group (Seattle, WA)
- …of the assigned **Seattle, WA territory** in terms of financial profitability, engagement of provider network and membership growth. Delivering our Services ... assists in the growth and development of the provider network . The Lead Analyst is the primary conduit to...but not limited to: preventative and quality outcome metrics, risk adjustment, medical cost management, etc. + Schedules, prepares… more
- Aston Carter (Bridgewater, NJ)
- …and collections of past due invoices/ deductions/ credits to ascertain potential risk associated with delinquent accounts. + Keep accurate records and audit trails. ... internal departments regarding payment identification, changes to bank accounts, coding , EDI activity, and other issues + Identify and...We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients… more
- Actalent (Syracuse, NY)
- …to improve HEDIS measures and provides education for HEDIS measures and coding . Supports the implementation of quality improvement interventions and audits in ... educates Provider practices in appropriate HEDIS measures and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements. Assesses provider performance data to… more