- LA Care Health Plan (Los Angeles, CA)
- Risk Adjustment Strategies and Initiatives Analytics Program Manager II Job Category: Accounting/Finance Department: Risk Adjustment ... net required to achieve that purpose. Job Summary The Risk Adjustment Strategies and Initiatives Analytics Program Manager II plays a valuable role… more
- LA Care Health Plan (Los Angeles, CA)
- …Document Management Specialist II Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... of medical records and any other documentation for the Enterprise Risk Adjustment (ERA) department in compliance with all healthcare regulatory agencies and… more
- Humana (Sacramento, CA)
- …The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk ... The Lead will focus on Project Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk Management Lead works on… more
- Highmark Health (Sacramento, CA)
- …range of strategic initiatives , specifically focusing on the evolution of Risk Adjustment Accuracy Management (RAAM) and Highmark's clinical data strategy. ... Extensive knowledge of Health Insurance and/or Provider operations, especially related to Risk Adjustment . + Experience in operational improvement and process… more
- LA Care Health Plan (Los Angeles, CA)
- …translate findings into actionable insights for strategy and business planning. Domain Focus: Risk Adjustment Analytics Required: Experience with risk ... to optimize plan revenue and quality scores. Knowledge of regulatory requirements impacting risk adjustment (eg, Centers for Medicare and Medicaid Services (CMS)… more
- LA Care Health Plan (Los Angeles, CA)
- …translate findings into actionable insights for strategy and business planning. Domain Focus: Risk Adjustment Analytics Required: Experience with risk ... to optimize plan revenue and quality scores. Knowledge of regulatory requirements impacting risk adjustment (eg, Centers for Medicare and Medicaid Services (CMS)… more
- LA Care Health Plan (Los Angeles, CA)
- …enterprise strategy. Deep knowledge of healthcare operations, quality measurement, risk adjustment , provider networks, provider performance, population health ... Preferred: Snowflake or SnowPro training Healthcare analytics training (eg, HEDIS, Risk Adjustment , MLTSS) Executive leadership or strategic analytics training… more
- LA Care Health Plan (Los Angeles, CA)
- …translate findings into actionable insights for strategy and business planning. Domain Focus: Risk Adjustment Analytics Required: Experience with risk ... to optimize plan revenue and quality scores. Knowledge of regulatory requirements impacting risk adjustment (eg, Centers for Medicare and Medicaid Services (CMS)… more
- WKND Digital (CA)
- …As a consultative expert, you will bridge the gap between our internal strategies and our external partners' growth initiatives and business goals. This ... and platform, adjusting spend allocations based on performance to scale high-performing strategies and reduce spend on low-performing initiatives , all while… more
- Actalent (Irvine, CA)
- …with an emphasis on quality systems development, regulatory compliance, and process risk management, including pFMEA. You will work to develop and characterize ... yield, as well as support the design of robust inspection strategies . Responsibilities + Foster collaborative professional relationships across Design Divisions,… more