- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Risk Adjustment Revenue Manager (Remote) **Cost Center:** 682891390 ... Shift:** Mon-Fri; 8:00 am - 5:00 pm (United States of America) **Job Description:** The Risk Adjustment Revenue Manager is responsible for risk … more
- UPMC (Pittsburgh, PA)
- …strategies that will improve their quality of patient care and maximize risk adjustment revenue . + Assist Senior Manager in development of education ... to maximize Health Plan revenue achieved through the various risk adjustment payment models. + Identify trends and barriers that interfere with correct… more
- OhioHealth (Columbus, OH)
- …achieve more - in our careers and in our communities. **Job Description Summary:** The Manager , Quality & Risk Adjustment is responsible for the strategic ... coordination of quality and risk adjustment programs supporting OhioHealth's Population Health...IT, Clinical Enterprise/Service Lines, OhioHealth Quality & Patient Safety, Revenue Cycle, etc. * Report to the Director of… more
- CVS Health (FL)
- …services within the existing program and vendors._ **Required Qualifications:** + _Expertise in Risk Adjustment payment models for MA, ACA and Medicaid._ + ... every day. **Position Summary** _The Purpose of the Sr. Manager , Business Consultation job is to drive prospective program..._Expertise in Risk Adjustment timelines and requirements_ + _Must… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …RSA initiatives, including Hierarchical Condition Categories (HCC) coding and other risk adjustment payment models. This role strategizes and collaborates ... Identifies opportunities for performance improvement related to system-wide HCC and other risk adjustment coding initiatives. Conducts medical record reviews and… more
- Healthfirst (NY)
- …from an accredited institution. + At least 5 years previous work experience within risk adjustment + Credentialed Associate of the Society of Actuaries (ASA) + ... BI). + Experience in modeling the financial impact of risk revenue changes. + Experience in supporting...Product and Actuarial analytical requests. + Experience with CMS/HHS risk adjustment payment methodologies. + Self-motivated, creative… more
- RELX INC (Atlanta, GA)
- …ability to mitigate and manage risk . About the job: The Field Account Manager role will ensure and grow additional revenue opportunities and protect ... About the Business: LexisNexis Risk Solutions is the essential partner in the...focused on helping businesses of all sizes drive higher revenue growth, maximize operational efficiencies and improve customer experience.… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and… more
- RELX INC (Atlanta, GA)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The National Account Manager role maintains and ... assess revenue potential, and outline targeted activities to maximize revenue opportunities and penetrate markets with LexisNexis Risk products and… more
- RELX INC (Sacramento, CA)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The National Account Manager role maintains and ... assess revenue potential, and outline targeted activities to maximize revenue opportunities and penetrate markets with LexisNexis Risk products and… more
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