- CVS Health (Montgomery, AL)
- …And we do it all with heart, each and every day. **Position Summary** As the Manager , Risk Adjustment will be responsible for leading Risk ... States. This role will have responsibility in maintaining and improving risk adjustment accuracy by partnering closely with leadership from our key value-based… more
- CVS Health (Boston, MA)
- …as a liaison with other key business areas, internally and externally. The Medicare Risk Adjustment Sr. Manager will play a critical role in extracting, ... day. **Position Summary** Reporting to the Lead Director of Medicare Revenue Integrity, the Sr. Manager , will...5+ years of data analytics experience + Knowledge of Risk Adjustment , preferably Medicare +… more
- CenterWell (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Medicare Risk Adjustment Strategy Lead in the PCO risk adjustment area ... at increasing clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Coding Manager Requisition # 24887 Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors Manager ... must reside in Oregon or Washington. Job Summary The Risk Adjustment Coding Manager is...adjustment coding and provider education programs for the Medicare Advantage and Medicaid product lines. This function is… more
- Datavant (Columbus, OH)
- …to realize our bold vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role ... of its analysts. We are looking for a hands-on manager who has experience and interest in providing guidance...(2+ years) + 3+ years of experience working with Medicare , ACA, and/or Medicaid risk adjustment… more
- CVS Health (Albany, NY)
- …has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will support data analysis, ... Medicare or Medicaid - Knowledge of health insurance concepts - Experience working in risk adjustment - Experience working at a health plan - Attention to… more
- Trinity Health (Syracuse, NY)
- … adjustment payment models. . Identify coding discrepancies and work with risk adjustment auditor/ manager to communicate deficiencies to providers. Core ... Ability to conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team environment and is… more
- Centene Corporation (Queens, NY)
- …+ Develop and refine Medicare contract models to incorporate RAF ( Risk Adjustment Factor) trends, Stars quality metrics, and benchmarking methodologies to ... execution of the organization's Value-Based Payment strategies (VBP) and other risk -based contracting strategies. + Oversee Medicare -specific VBP contracts,… more
- CVS Health (Chicago, IL)
- …) is a leadership role that serves as an owner for the Revenue Integrity (RI) Medicare Risk Adjustment informatics Data/ Program Valuation Team. You will be ... sources including CMS, providers and vendor performance. The Senior Manager , Informatics ( Medicare ) will also collaborate closely... Medicare initiatives including retro chart chases, SVPs, Risk Adjustment Data Validation, 2LR and etc.… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** 682891378 SHP-Actuarial **Scheduled Weekly ... **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment Services is a key leader...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more