- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Director , Quality and Risk Adjustment has regional oversight of the development and ... submitted to CMS and other governmental agencies. The Director , Quality and Risk Adjustment requires an in-depth understanding of how organization… more
- Ankura (Chicago, IL)
- …operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also ... of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for clients. +… more
- CVS Health (Springfield, IL)
- …strategic analysis. + Understanding of value-based care, including risk adjustment methodologies (eg, HCC coding), quality measurement frameworks, and ... all with heart, each and every day. The Lead Director , National VBC Performance Planning & Insights will act...key performance indicators (KPIs) related to revenue, cost and quality to identify trends and areas for improvement +… more
- Ankura (Chicago, IL)
- …assessment. + Apply innovative techniques to healthcare engagements including those related to Risk Adjustment . + Expand and build new products in a ... thought leader in healthcare topics like predictive analytic applications, risk adjustment , and value-based care. + Develop,...Ability to manage multiple concurrent projects. + Commitment to quality and working within a team. + Effective oral… more
- AdventHealth (Bolingbrook, IL)
- …coordinates and facilitates the development of a discharge plan of care for high- risk patient populations. This role will receive referrals for individuals from at- ... risk populations from interdisciplinary team members (including physicians, RN...and system goals, objectives, policies and procedures and ensures quality patient care and regulatory compliance. Actively participates in… more
- Amcor (Deerfield, IL)
- …**About The Role** Assists the PET Category Manager and Global PET Director on various procurement activities. Conduct analytical evaluations of multiple quotations ... P+ business objectives. + Assist in strategy review and adjustment in line with Amcor's strategies and P+ business...of Amcor including, but not limited to price, delivery, quality and other required services. + Drive standardization (processes,… more