- CVS Health (Montpelier, VT)
- … Manager , within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities not limited to, reconciliation and aggregation, ... members and/or matrixed staff as required to support MA Risk Adjustment Revenue Integrity initiatives. + Responsible...results; customize MA and ACA reporting views and outreach manager data needed for day to day operations work.… more
- Mount Sinai Health System (New York, NY)
- …(Certified Inpatient Coder) or CCDS Certified Clinical Documentation Specialist *CRC (Certified Risk Adjustment Coder) strongly preferred. Must obtain within one ... (Certified Inpatient Coder) or CCDS Certified Clinical Documentation Specialist *CRC (Certified Risk Adjustment Coder) strongly preferred. Must obtain within one… more
- Mount Sinai Health System (New York, NY)
- …for driving key population health goals including access, quality, utilization and accurate risk adjustment with a group of practices and (2) close partnership ... with the CDQI Director to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing physicians, medical… more
- Hartford HealthCare (Farmington, CT)
- …collaboration with the Quality Management Department on mortality, PSI, HAC and other risk adjustment outcomes. . Shares accountability to present quarterly Key ... reports and communicates results and action planning to CDI Manager and Supervisors. . Provides CDS, coding and provider...to understand and communicate the impact of CC/MCC's, PSI/HACs, risk adjustment , and other variables on the… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …as subject matter expert in Post-Award and acts as a mentor to the Manager , Post-Award, offering guidance and support to help them navigate their role effectively. ... training sessions, workshops, and other learning opportunities to enhance the Manager , Post-Award skills and competencies. The AD Post-Award will identify continuous… more
- CareOregon (Portland, OR)
- …+ Experience in Medicaid, quality assurance, utilization review, case management, and/or risk adjustment + Experience with CareOregon or other CCO operations ... Level Director Direct Reports Sr Planning & Operations Specialist, Network Support Manager Manager Title Vice President, CareOregon Metro Department CareOregon… more
- Amazon (Seattle, WA)
- …examinations - Bachelor's Degree in Information Systems Management, Computer Science, Informatics , or other related fields. - Certified Information Systems Auditor ... (CISA) or Certified Information Systems Manager (CISM) - Experience communicating audit/assessment results and corrective action (ie remediation) plans to partners,… more
- AdventHealth (Altamonte Springs, FL)
- …manage multiple priorities at once with little supervision. Possesses knowledge about risk adjustment and hospital publicly reported data. Possesses knowledge ... Coding programs. Will work with Case Management, the Billing Office, Coding Manager , Clinical Documentation Improvement specialists and the coding team to code and… more