- OhioHealth (Columbus, OH)
- …in our careers and in our communities. **Job Description Summary:** The Manager , Quality & Risk Adjustment is responsible for the strategic coordination ... of quality and risk adjustment programs supporting OhioHealth's Population Health efforts including but not limited to Clinically Integrated Network (CIN),… more
- Molina Healthcare (St. Petersburg, FL)
- …**Program Manager - Provider Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program ... Documentation Development** + Develop, review, and update Standard Operating Procedures (SOPs) for risk adjustment and quality program workflows. + Maintain… more
- Evolent (Phoenix, AZ)
- …Be Doing:** ** Manager , Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of ... to providing better health outcomes for the population. The Risk Adjustment Coding Manager plays...progress note clinical documentation review. + Ensure compliance and quality for all coding practices maintaining high standards and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… more
- Datavant (Richmond, VA)
- …life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the ... data strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data...data types + Data accuracy (upstream validation of data quality ) + Database uptime/availability + Optimized query response time… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key… more
- CVS Health (FL)
- …services within the existing program and vendors._ **Required Qualifications:** + _Expertise in Risk Adjustment payment models for MA, ACA and Medicaid._ + ... every day. **Position Summary** _The Purpose of the Sr. Manager , Business Consultation job is to drive prospective program..._Expertise in Risk Adjustment timelines and requirements_ + _Must… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | ... provider-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment... Quality (CPHQ) or Certification in Health Care Quality and Manager (CHQM) * Registered Nurse… more
- ChenMed (Miami, FL)
- …departments to review medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure opportunities. A ... to collect and review documents to support the organization's quality and risk adjustment initiatives,...required. + Other duties as assigned and modified at manager 's discretion. KNOWLEDGE, SKILLS & ABILITIES: + Advanced understanding… more
- Molina Healthcare (Kearney, NE)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting ... **Job Description** **Job Summary** The Risk & Quality Performance Manager...Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge… more