- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Risk Adjustment Revenue Director (Remote/Hybrid) **Cost Center:** ... Shift:** 40 Normal (United States of America) **Job Description:** **JOB SUMMARY** The Risk Adjustment Revenue Director is a finance leader responsible… more
- Blue KC (Kansas City, MO)
- …with adoption financial assistance** **Employee discount program** **Job Description Summary:** The Director , Government Programs Risk Adjustment & Audit ... adjusted revenue optimization strategy and oversight of Government Programs Risk Adjustment programs. **Job Description** + Interface with Blue KC… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …transform healthcare? Bring your true colors to blue. Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Associate ... Director of Risk Adjustment Data and Analytics is responsible...certifications, experience, skills, performance, shift, travel requirements, sales or revenue -based metrics, and business or organizational needs and affordability.… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Director Risk Adjustment Prospective Operations & Risk Mitigation is the thought leader role responsible for ensuring the complete and ... strategic leader who initiates, develops and executes/implements the multi-product risk adjustment strategy set by the executive... Risk Adjustment ensuring accurate diagnosis risk coding and achieving related revenue targets.The… more
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** ... (United States of America) **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment...regarding insurance risk evaluation, premium rate setting, risk adjusted revenue process, merger and acquisition… more
- Ankura (New York, NY)
- …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible ... that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category (HCC) revenue ...data solutions. + Develop and support risk adjustment financial models that align with HCC revenue… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and Analytics. This role will manage ... changes, market dynamic forces, and new competitive threats around Medicare revenue and risk adjustment + Assess new proposals or regulatory positions… more
- Tufts Medicine (Burlington, MA)
- …as other technical requirements. 4. Summarizes and interprets audit findings for Director Risk Adjustment Operations/NEQCA Leadership; tracks audit results ... over time, identifies trends, and recommends corrective actions. 5. Collaborates with Director Risk Adjustment Operations/NEQCA staff and vendors to identify… more
- Scripps Health (San Diego, CA)
- …Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs instructions and education ... helping us continue to transform healthcare delivery. Join Scripps as Senior Director , Revenue Cycle where you will have primary accountability for the oversight… more