- Elevance Health (Atlanta, GA)
- …+ Working knowledge of Medicaid is strongly preferred + Healthcare business knowledge related to Risk Adjustment Payment Methodology strongly ... effectively consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs + Provides expertise to lower-level… more
- Molina Healthcare (Augusta, GA)
- …modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program ... Health Plan strategic analysis and planning and coordinates across business units on Risk Adjustment ...business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Analysis and forecasting… more
- Elevance Health (Atlanta, GA)
- …and problem-solving, critical thinking skills strongly preferred. + Healthcare business knowledge related to Risk Adjustment Payment Methodology ... to the development and implementation of strategic initiatives aimed at improving risk adjustment outcomes. + Monitor the effectiveness of implemented solutions… more
- Elevance Health (Atlanta, GA)
- …+ Working knowledge of Medicare is strongly preferred + Healthcare business knowledge related to Risk Adjustment Payment Methodology strongly ... effectively consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs + Provides expertise to lower-level… more
- Datavant (Atlanta, GA)
- … risk adjustment charts + Understanding of Medicare, Commercial and Medicaid risk adjustment business logic and coding + Knowledge and understanding ... vision for healthcare . We're looking for a Risk Adjustment Trainer to help us uplevel...members of Ciox team + Expertise and understanding of risk adjustment business logic +… more
- Highmark Health (Atlanta, GA)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... and deliver large and small scale projects that advance business outcomes and achieve strategic objectives relative to new...and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives… more
- CVS Health (Atlanta, GA)
- …Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will support data analysis, ... business needs. You will be responsible for maintaining risk score model integrity across multiple states and communicate...Knowledge of health insurance concepts - Experience working in risk adjustment - Experience working at a… more
- Datavant (Atlanta, GA)
- …industry + Experience and familiarity with MA, ACA and Medicaid Risk Adjustment models. + Experience with other business intelligence backend and analytics ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...thoughtful analyses, insights and visualizations. You will: + Gather Business Requirements + Understand Datavant's business , products… more
- Datavant (Atlanta, GA)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...and time management skills. + Working knowledge of the business use of computer hardware and software to ensure… more
- Cognizant (Atlanta, GA)
- …implementation methodology around enrollment, reconciliation, encounters and risk adjustment programs in the government sponsored healthcare market. You ... and government programs particularly within enrollment, reconciliation, encounters and risk adjustment areas. . Strong capabilities and experience in… more