- Highmark Health (Madison, WI)
- …may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver... strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives… 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 ... States of America) **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment Services is a key leader for commercial and government… more
- Molina Healthcare (Kenosha, WI)
- …SKILLS & ABILITIES:** * 4+ years of program and/or project management experience in risk adjustment and/or quality * 4+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is...engine activity, risk adjustment targeting and reporting systems *… more
- Molina Healthcare (Milwaukee, WI)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...engine activity, risk adjustment targeting and reporting systems *… more
- Amazon (Kenosha, WI)
- …is seeking an experienced and innovative Senior Site Workplace Health and Safety (WHS) Manager to join our team. In this position, you will be responsible for ... you will lead continuous improvement initiatives to reduce conditional and ergonomic risk in Amazon's processes to ensure a safe and healthful working environment… more
- Marshfield Clinic (Marshfield, WI)
- …external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the ... providers in coding accuracy. The Educator develops and implements strategic action, quality improvement and risk management...accuracy and integrity of risk adjustment data submitted to the Centers… more
- CenterWell (Madison, WI)
- …help us put health first** The Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy and targeted initiatives aimed at ... clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement… more
- CenterWell (Madison, WI)
- …in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex ... to strengthen a patient-centered culture that is clinically led + Strategic problem-solver with examples of driving change initiatives with measurable impact… more
- Amazon (Oak Creek, WI)
- …committed to the safety and wellbeing of our people. WHS sets the strategic direction to provide resources, best practices, and safe environments to proactively ... position, you will work closely with the WHS Site Manager , WHS Specialist, and occasionally the Injury Prevention Specialist...medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a… more
- Travelers Insurance Company (Madison, WI)
- …for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants, the Travelers Lab, Claim Legal, and fire or ... + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle… more