- CVS Health (Hartford, CT)
- …portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk Adjustment , the Market Manager of Medicaid ... retain a high performing, high quality risk adjustment talent pool that is respected within Medicaid...2+ years of experience in the health care industry, Medicaid operations, risk adjustment , or… more
- CVS Health (Hartford, CT)
- …the Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment National Programs, this individual will work closely ... years of project management experience. Preferred Qualifications + 2+ years in Medicaid or Risk Adjustment health care industry experience. + Certified … more
- CVS Health (Hartford, CT)
- …economic outcomes, and other business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics, the Sr. Analyst will work closely with ... to make health care more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a critical role in… more
- Point32Health (SC)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/ Manager , performs accurate and timely ... Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider...of action. Maintains productivity levels as defined by the Manager / Supervisor for a Coding Specialist II by… more
- Point32Health (SC)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/ Manager , performs accurate and timely ... Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist I reviews provider...Maintains productivity and accuracy levels as defined by the Manager / Supervisor for a Coding Specialist I by… more
- Universal Health Services (Reno, NV)
- …and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Risk Adjustment Submissions Manager is a core member of ... to manage submissions and errors, applicable regulatory edits and business rules. The Risk Adjustment Submissions Manager maintains the throughput of… more
- CVS Health (Tallahassee, FL)
- …in Risk Adjustment payment models for Medicare Advantage, ACA and Medicaid . + Expertise in Risk Adjustment timelines and requirements + Prefer ... health care more personal, convenient and affordable. Position SummaryThe Purpose of the Manager , Business Consultation job is to monitor and manage day to day… more
- CVS Health (Hartford, CT)
- …has an exciting opportunity for a Senior Informatics Manager to join our dynamic Medicaid Risk Adjustment Analytics team! In this role you will provide ... of audiencesPreferred Qualifications- Knowledge of government-regulated healthcare programs such as Medicaid or Medicare - Risk Adjustment … more
- Molina Healthcare (Las Vegas, NV)
- **JOB DESCRIPTION** **Job Summary** Responsible for continuous quality improvements and risk adjustment accuracy for all government lines of business. Supports ... to engage with key providers. + Participates in state level quality and risk adjustment strategy meetings, develops a quality workplan, and ensures integration… more
- CVS Health (Woonsocket, RI)
- …actuarial team for forecasting and rate setting; serve as lead subject matter expert on Medicaid Risk Adjustment methodology and risk scoring; maintain ... is hiring for the following role in Woonsocket, RI: Manager , Informatics to formulate and apply mathematical and optimizing...risk evaluation and program implementation; track and analyze risk adjustment model versions and weights by… more