- Datavant (Indianapolis, IN)
- … adjustment charts + Understanding of Medicare , Commercial and Medicaid risk adjustment business logic and coding + Knowledge and understanding of ... Ciox core values to all members of Ciox team + Expertise and understanding of risk adjustment business logic + Ability to analyze data to determine the root… more
- Datavant (Indianapolis, IN)
- …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
- Datavant (Indianapolis, IN)
- …and managing in a remote environment (2+ years) + 3+ years of experience working with Medicare , ACA, and/or Medicaid risk adjustment models + 5+ years of ... vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping...Manager will be stepping into a role on the Business Analytics team and overseeing a core group of… more
- Humana (Indianapolis, IN)
- …+ Demonstrating an understanding of departmental and organizational goals and how risk adjustment compliance supports boarder business priorities. Making ... caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Indianapolis, IN)
- …community and help us put health first** The Director, Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning support ... segments and the company at large. The Director, Risk Adjustment Strategy Advancement requires an in-depth...for a seasoned leader to lead strategic planning and business management for the team. The primary objective of… more
- CenterWell (Indianapolis, IN)
- …+ Ability to travel up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions. + Proven track record of ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
- Elevance Health (Indianapolis, IN)
- …in applying appropriate diagnosis in the Medicare HCC model and/or CMS Risk Adjustment Model** ; or any combination of education and experience, which ... the Elevance Health family of companies, within our Carelon business . CareBridge Health exists to enable individuals in home...most appropriate diagnosis codes. + Overall accountability for the HCC/ Risk Adjustment of goals and workflows to… more
- CenterWell (Indianapolis, IN)
- …care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex care, ... has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary… more
- CenterWell (Indianapolis, IN)
- …at increasing clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct ... and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy...trends and develops internal initiatives to meet the ever-evolving business needs. Stays on the cutting age of technology… more
- Humana (Indianapolis, IN)
- …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more