- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Operations Manager plays a critical role in the development and execution of the corporate ... risk adjustment strategy for the acquisition and...programs and metrics for monitoring the progress of the operations in collaboration with cross-functional teams and senior leadership.… more
- Point32Health (Canton, MA)
- …at Point32Health (https://www.point32health.org/) . **Job Summary** This position will lead the Risk Adjustment Operations & Provider Consulting team ... the complete and accurate capture of risk adjustment data. To be successful, the Manager ...goals. This position will report to the Director of Risk Adjustment Strategy, Operations and… more
- Blue KC (Kansas City, MO)
- … Adjustment (RA) programs for Commercial (ACA). Manages Risk Adjustment coding, auditing and retrieval operations and if needed special projects within ... performance, monitoring and improvement of our risk adjustment coding and chart retrieval operations which...risk adjustment coding and chart retrieval operations which at times may include oversight oftemporary coders… more
- Datavant (Juneau, AK)
- …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 standardization, data integrations, database… more
- HCA Healthcare (Campbell, CA)
- …colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be a manager in ... join our team as a Director of Quality and Risk Adjustment . We care for our communities...Adjustment and Quality programs Required + Experience at Manager or Director level Required + Experience with Quality… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with physicians and ... medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure...do not meet quality standards. + Examples of missed operations missed opportunities. + Examples of clinical that ensure… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... Area: Customer Service/ Operations About Blue Cross and Blue Shield of Minnesota...* Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or… more
- Amazon (Seattle, WA)
- …future of Risk and Governance in Finance Operations Amazon is seeking a Risk Manager to join our Finance Operations Risk , Governance, and ... Earth's most customer-centric company. Key job responsibilities As a Risk Manager , you will be the go-to...go-to expert for project and program management across Finance Operations Risk & Governance (FORGE). Your responsibilities… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Senior Manager , Data Architecture (Financial Services Specialist 4 ( Risk ), SG-27) Occupational Category ... profiles of DFS-supervised entities.The ideal candidate will possess expertise in surveillance operations , risk monitoring, and incident response, with a keen… more
- Amazon (Seattle, WA)
- …within the Selling Partner Support organization is looking for a senior leader for the Risk Mining team based out of our office in Seattle. USA. The AIT team owns ... stop downstream fraud and abuse. The role of the Risk Mining team is to detect and quickly mitigate...unique patters of bad actor activity. The Senior Program Manager will be responsible for coordination of goals, AI… more
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