- Humana (Tallahassee, FL)
- …to drive efficient, effective, and compliant risk adjustment processes. This Risk Adjustment Risk Management lead position will be responsible ... Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and...Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk… more
- Datavant (Tallahassee, FL)
- …educational and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a ... deep understanding of the Risk Adjustment business domain and is skilled...navigating ambiguity + Excellent communication skills + Well-developed time management skills and demonstrable experience of prioritizing work to… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** The Lead, Risk Adjustment - Predictive Analytics role supports Molina's Risk Adjustment Predictive Analytics team. ... to enable them to perform the tasks required. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective and Retrospective… more
- Wolters Kluwer (Tallahassee, FL)
- …| Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** **Coder Workbench Solution:** ** Risk Adjustment Software | Health Language ... or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space,...+ Provide comprehensive and insightful sales reports to senior management . + Identify and leverage market opportunities for business… more
- Highmark Health (Tallahassee, FL)
- …with a range of strategic initiatives, specifically focusing on the evolution of Risk Adjustment Accuracy Management (RAAM) and Highmark's clinical data ... Extensive knowledge of Health Insurance and/or Provider operations, especially related to Risk Adjustment . + Experience in operational improvement and process… more
- Datavant (Tallahassee, FL)
- …for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... findings on a daily basis, including education on time management and best coding practices. + Provide coaching and...the role. + Report trends for education opportunities to management for review and/or action. + Motivate team members… more
- Datavant (Tallahassee, FL)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... skills, problem solve, ability to work in a remote environment, and time management skills. + Working knowledge of the business use of computer hardware and… more
- Datavant (Tallahassee, FL)
- …met. + Report trends for education opportunities in both quality and productivity to management for review and/or action. + Assists in coding to meet the monthly ... 95% or higher. + Any other tasks required by management . **What you will bring to the table:** +...ability to work in a remote environment and time management skills + Working knowledge of the business use… more
- Datavant (Tallahassee, FL)
- …strategies. The ideal candidate will have a deep understanding of value-based care, risk adjustment , and the healthcare provider ecosystem ( risk -bearing ... prospects. + Serve as a trusted advisor, demonstrating a strong understanding of risk adjustment , HCC coding, and value-based care operations. + Liaison account… more
- City of Lakeland (Lakeland, FL)
- …Location Employment Services, FL Job Type Full Time Regular Job Number 2330-08 Department Risk Management and Purchasing Division Risk Management and ... include directly supervising Safety, Health Benefits, and Claims Team Leaders; Risk Management support staff and Wellness Initiatives. This position… more