- Molina Healthcare (Ridgeland, MS)
- **Job Description** **Job Summary** The AVP, Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and ... of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality subject... Provider Engagement team for large, contracted, value-based provider systems. + Attends state and regional Quality… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... -performance consultation team, this role * Identifies opportunities for provider groups to improve performance on quality ...-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment… more
- Avera (Sioux Falls, SD)
- … Adjustment (RA) initiatives and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with ... the Director of Quality and Risk Services, Manager of Risk Adjustment...Quality Coordinator - HEDIS. + Supports member and provider outreach initiatives to close quality and… more
- HCA Healthcare (Campbell, CA)
- …+ Develop and direct employee training and provider outreach programs to improve Risk Adjustment and Quality program performance + Ensure compliance with ... 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with...We are HCA Healthcare's graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid ... Will Have We are looking for a Director of Risk Adjustment and Quality Analytics...and maintenance of dashboards to monitor risk adjustment initiatives and outcomes. * Collaborates with provider… more
- Centene Corporation (Jefferson City, MO)
- …execute Line 2 oversight to evaluate the effectiveness and compliance of risk adjustment quality programs. + Provide expert guidance on CMS coding ... and communicates findings to business stakeholders to support the integrity and quality of risk adjustment data. Collaborates with coding teams to improve… more
- BJC HealthCare (St. Louis, MO)
- …to be successful in the role: + **Hierarchical Condition Category (HCC)** **coding and risk adjustment ** + **Bachelors degree** + **2 years in a supervisory ... Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …are ready to make a difference, join us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play a critical ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career… more
- Centene Corporation (Springfield, IL)
- …federal, and NCQA requirements. + Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and ... to improve provider performance in areas of Quality , Risk Adjustment and Operations...encounters). + Identifies specific practice needs where Centene can provide support. + Develops, enhances and maintains provider… more
- Centene Corporation (Indianapolis, IN)
- …federal, and NCQA requirements. + Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and ... to improve provider performance in areas of Quality , Risk Adjustment and Operations...encounters). + Identifies specific practice needs where Centene can provide support. + Develops, enhances and maintains provider… more