- Humana (Boston, MA)
- …+ Experience in healthcare operations, preferably with exposure to MRA or risk adjustment + Strong understanding of financial concepts (budgeting, ROI, ... us put health first** This role will support ongoing performance evaluation and enhancement for STP initiatives, while also...cost management ) + Proficient Excel skills; familiarity with business intelligence… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with CMS regulations. This leader is responsible for analysis, projections, and assessment of risk adjustment performance . Your Day to Day: + Responsible for ... Data and Analytics will oversee the reporting, analytics and management of risk adjustment , internally...direct leadership of the Risk Adjustment Performance and Strategic… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …in collaboration with other areas, develop and monitor key performance indicators on risk adjustment performance that will assess the progress of the ... healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report...plan. This position will track and monitor the key performance indicators of multi-year strategies and tactics designed to… more
- Commonwealth Care Alliance (Boston, MA)
- …Director of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and ... of data systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category (HCC) revenue programs. This… more
- Elevance Health (Woburn, MA)
- …historical program performance and to inform current operating decisions. + Prepares management reports for risk adjustment related projects. + Collects ... **Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,**… more
- Datavant (Boston, MA)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and ... execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
- Commonwealth Care Alliance (Boston, MA)
- …gathering and transformation methodology, and will play an essential role in driving Risk Adjustment (RA) Program performance . Supervision Exercised: * No, ... claims management systems, EMR platforms, healthcare regulations, Risk Adjustment MA/HHS, project management , data visualization, or other… more
- Datavant (Boston, MA)
- …planning and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to be operating proactively ... vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping...analytics + Experience using Jira for workflow and project management + Experience using both Microsoft and Google office… more
- Datavant (Boston, MA)
- …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... to escalate and create solutions. + Own client operations project management processes, tools, reference materials, and cross‐functional usage. + Identify, define,… more
- Datavant (Boston, MA)
- …for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... lives we impact. You will: + Supervise day-to-day team performance , conduct 1:1's and performance assessments. +...findings on a daily basis, including education on time management and best coding practices. + Provide coaching and… more
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