- Atrium Health (Charlotte, NC)
- …This leaders will be a key subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on priorities ... quality of care metrics. Assumes accountability as delegated by the Director . Essential Functions: Position manages and develops interprofessional teams, providing… more
- Somatus (Mclean, VA)
- …teammates physical and mental well-being + Community engagement opportunities + And more! The Director , Medicare Risk Adjustment (MRA) will lead the ... customer service, enrollment etc. + Proven experience with commercial and/ or Medicare Advantage risk adjustment functions. + Proven track record of working… more
- Trinity Health (Fort Lauderdale, FL)
- …Expertise in Medicare programs and regulations including fraud and abuse and Medicare Hierarchical Condition Coding Risk Adjustment + Excellent analysis ... or perform data mining and data-driven analysis to forecast/evaluate the performance of the risk adjustment program and refine annual risk adjustment … more
- Centene Corporation (Columbia, SC)
- …as a medical coder 2+ years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding) Required Other experience in teaching, ... include Provider Relations, Quality as well as the Medical Director for the state assigned to ensure compliance of...2+ years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding)… more
- Centene Corporation (Yuma, AZ)
- …1+ years of experience in medical records coding (HCC Coding) with knowledge of Medicare , Marketplace, and Medicaid risk adjustment is required. Provider ... analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment...include Provider Relations, Quality as well as the Medical Director for the state assigned to ensure compliance of… more
- Centene Corporation (Carson City, NV)
- …as a medical coder. 2+ years experience in coding with knowledge of Medicare risk adjustment (HCC Coding). Required experience- teaching, training ... analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment...include Provider Relations, Quality as well as the Medical Director for the state assigned to ensure compliance of… more
- Henry Ford Health System (Troy, MI)
- … payment models and other value based initiatives. Under minimal supervision from the Director , Risk Adjustment and Value Based Payment, the Manager is ... The Manager, Risk Adjustment & Value Based Reimbursement...both departmental staff and multi-disciplinary teams. + Knowledge of Medicare , Medicaid, Blue Cross and other third party payers… more
- CVS Health (Hartford, CT)
- …years of relevant financial experience + Knowledge of: Financial Management, Expense Management, Medicare Bids, Stars, Risk Adjustment + Skill In: Ability ... Integrity teams for each of the 4-5 regions that Medicare operates under. This organization will help strengthen the...business partners the expansion of VBC, Provider Collaboration (ie Risk deals) across the local markets. Ensure deals are… more
- Elevance Health (Richmond, VA)
- …practice managers, population health and quality directors on improving STARS/HEDIS or Risk Adjustment performance. + Six Sigma or formal process improvement ... a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid… more
- Universal Health Services (Reno, NV)
- …programs. + At least 3 years of health care experience working with Medicare and/or Commercial risk adjustment programs. Requires working knowledge ... strategies within the Prominence Health umbrella. Emphasis will be centered around risk -based contract performance, risk adjustment , and quality measurement… more
