- Corewell Health (Grand Rapids, MI)
- Job Summary The Director Risk Adjustment Prospective Operations & Risk Mitigation is the thought leader role responsible for ensuring the complete ... external regulatory audits including IPM, RADV and OIG audits.This position will manage risk adjustment Prospective and Risk Mitigation team members and… more
- Datavant (Augusta, ME)
- …realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... for the product portfolio focused on identifying and acting on undiagnosed conditions ( prospective suspecting) and ensuring risk adjustment coding accuracy… more
- Ankura (New York, NY)
- …creation, Risk Adjustment vendor audit processes, managing retrospective or prospective Risk Adjustment activities such as Chart Review or In-Home ... and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice… more
- Molina Healthcare (St. Petersburg, FL)
- …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and ... **Job Description** **Job Summary** The Director , Clinical Data Acquisition is responsible for the...that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation experience. +… more
- University of Utah Health (Murray, UT)
- …operations for the larger health system. **Responsibilities** + Performs retrospective and prospective risk adjustment analytics to drive revenue ... trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for...sexual misconduct including sexual harassment, you may contact the Director /Title IX Coordinator in the Office of Equal Opportunity… more
- CareFirst (Baltimore, MD)
- … Analytics team is hiring a lead data analyst with deep experience in risk adjustment . This person will support the Director of Risk Adjustment by ... monitoring and reporting on risk adjustment KPIs, delivering insights for prospective and retrospective risk adjustment operational decisions, and… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... through detailed data analytics by provide accurate finance models Identify risk /exposure associated with various reimbursement structures. Produce prospective … more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …focused physical examinations, to establish a nutrition diagnosis and determine risk and/or degree of malnutrition. Develops and implements Medical Nutrition Therapy ... program and provide a verification statement from the program director that conveys eligibility to take the CDR registration...eligibility to take the CDR registration exam as a prospective RDN. A list of ACEND accredited programs are… more
- Veterans Affairs, Veterans Health Administration (Colorado Springs, CO)
- …focused physical examinations, to establish a nutrition diagnosis and determine risk and/or degree of malnutrition. Develops and implements Medical Nutrition Therapy ... program and provide a verification statement from the program director that conveys eligibility to take the CDR registration...eligibility to take the CDR registration exam as a prospective RDN. A list of ACEND accredited programs are… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …focused physical examinations, to establish a nutrition diagnosis and determine risk and/or degree of malnutrition. Develops and implements Medical Nutrition Therapy ... program and provide a verification statement from the program director that conveys eligibility to take the CDR registration...eligibility to take the CDR registration exam as a prospective RDN. A list of ACEND accredited programs are… more