- Memorial Healthcare (Owosso, MI)
- …for department's annual budget/capital preparation. Responsible for annual employee performance evaluations. Responsible for operational management of assigned ... JOB SUMMARY Reports to the Director. Has 24-hour responsibility for the management of nursing personnel, ancillary personnel, and patient care in the assigned… more
- Strategic Staffing Solutions (Grand Rapids, MI)
- …with BI tools and reporting platforms to create dashboards and reports for monitoring risk adjustment performance and compliance. o Proficiency in MS Office ... implement. o Project Management : Ability to manage projects related to risk adjustment initiatives and compliance projects, requiring skills like defining… more
- Banner Health (Phoenix, AZ)
- …programs. This role leads enterprise strategies to improve cost efficiency, quality outcomes, risk adjustment accuracy, and contract performance across lines ... Protection Professional (CPP); Chartered Property Casualty Underwriter (CPCU); Associate in Risk Management (ARM); CPA; SPHR; Registered Health Information… more
- Allianz (New York, NY)
- We are looking for a Complex Claims Analyst - Management Liability (m/f/d), based in our New York City office. Your Team You will be working with a small but diverse ... and materials as appropriate; and Supporting the establishment of claims management procedures on new business accounts in association with clients, brokers… more
- Actalent (St. Louis, MO)
- …for all new Actalent consultants and perform recurring touchpoints with each on performance / project status Identify project risk areas and suggests mitigation ... consultant teams - and is responsible for the daily operations, consultant management and client communication for onsite delivery programs in our CapEx Construction… more
- UnitedHealth Group (Phoenix, AZ)
- …and skilled nursing facility utilization, oversight and direction of Outpatient Care Management Services, Medicare Risk Adjustment Factor (RAF) education ... programs (STARS, RAF, HEDIS, CHAPS/HOS etc) Experience with identifying Medicare risk adjustment and presenting findings to client/providers Experience with… more
- Amazon (Seattle, WA)
- …ambiguous problems. Key job responsibilities -Own KPIs that measure fraud or abuse management performance . -Perform large scale data analysis to understand fraud ... scale, please apply! BASIC QUALIFICATIONS - 4+ years of compliance program management , legal, governance, audit, risk /loss prevention, or equivalent experience -… more
- HealthCare Partners (Garden City, NY)
- …by working in close partnership with the Customer Engagement Center (CEC), Pharmacy, Risk Adjustment , Utilization Management , Quality, Network Relations, and ... with internal teams to ensure accurate understanding and achievement of quality and risk adjustment metrics. Serves as a quality resource for providers and… more
- UnitedHealth Group (Secaucus, NJ)
- …Director, Population Health, this key physician will provide expertise in population health, risk adjustment and quality. They will work collaboratively across a ... Collaborates in teaching clinicians and clinical operations teams about Medicare Risk Adjustment , CMS STARs/HEDIS, and overall population health approach… more
- Weber Metals (Paramount, CA)
- …responsible role of the following:) Monitoring, evaluating & improving equipment performance . Generating and presenting technical reports to management . ... of mechanical and electrical equipment problems. Create and maintain equipment risk assessments. Ensure codes and standards for equipment are enforced (ie.… more
